Provider Demographics
NPI:1104048412
Name:DURKIN, MARIA (OTR)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:DURKIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:REINER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:102 DRAKE LN
Mailing Address - Street 2:
Mailing Address - City:NORTH WALES
Mailing Address - State:PA
Mailing Address - Zip Code:19454-1646
Mailing Address - Country:US
Mailing Address - Phone:215-283-5220
Mailing Address - Fax:
Practice Address - Street 1:102 DRAKE LN
Practice Address - Street 2:
Practice Address - City:NORTH WALES
Practice Address - State:PA
Practice Address - Zip Code:19454-1646
Practice Address - Country:US
Practice Address - Phone:215-283-5220
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC002767L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist