Provider Demographics
NPI:1518556026
Name:MARCUM, MARIA ELIZABETH (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELIZABETH
Last Name:MARCUM
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:933 APPLE TREE RD
Mailing Address - Street 2:
Mailing Address - City:HARDING
Mailing Address - State:PA
Mailing Address - Zip Code:18643-7038
Mailing Address - Country:US
Mailing Address - Phone:570-336-0309
Mailing Address - Fax:
Practice Address - Street 1:933 APPLE TREE RD
Practice Address - Street 2:
Practice Address - City:HARDING
Practice Address - State:PA
Practice Address - Zip Code:18643-7038
Practice Address - Country:US
Practice Address - Phone:570-336-0309
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC017358225X00000X, 225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist