Provider Demographics
NPI:1992999163
Name:SAINTJOY, MAGGIE (COTA/L)
Entity type:Individual
Prefix:MR
First Name:MAGGIE
Middle Name:
Last Name:SAINTJOY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25762 LAKE AMELIA WAY
Mailing Address - Street 2:APT 203
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-3825
Mailing Address - Country:US
Mailing Address - Phone:239-529-7762
Mailing Address - Fax:
Practice Address - Street 1:2576 LAKE AMELIA WAY
Practice Address - Street 2:APT 203
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135
Practice Address - Country:US
Practice Address - Phone:239-529-7762
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-30
Last Update Date:2014-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA 10472224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant