Individual provider · Type 1 NPI

Maxime Fatal

Occupational Therapy Assistant · Salisbury, MD

NPI number 1780554089 Active

Practice location

316 Mill Pond Ln Apt 525
Salisbury, MD 21804-2311

Fax (410) 422-1119

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XU2-0012336 (DE)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1780554089

Maxime Fatal's National Provider Identifier is 1780554089, issued on Nov 11, 2025. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Salisbury, MD. The record was last updated on Nov 11, 2025.