Provider Demographics
NPI:1356570840
Name:CULIBAO, MARIA NORMA (OTR/L)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:NORMA
Last Name:CULIBAO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:NORMA
Other - Middle Name:C
Other - Last Name:CULIBAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2024
Practice Address - Street 1:5501 E MICHIGAN ST
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32822-2779
Practice Address - Country:US
Practice Address - Phone:407-277-7225
Practice Address - Fax:407-277-6690
Is Sole Proprietor?:No
Enumeration Date:2009-07-06
Last Update Date:2009-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7293225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist