Individual ProviderRebecca Prince MaggioOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2522 E 70th St, Shreveport, LA 71105-4002(318) 798-5918(318) 372-7035PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Prince Maggio does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1700221819Provider TypeIndividualFull NameMaggio, Rebecca PrinceTitleMrs.CredentialLOTRGenderFemaleSole ProprietorNoEnumeration Date5/2/2013Last Updated5/2/2013Contact InformationPractice LocationPractice Address2522 E 70th St, Shreveport, LA 71105-4002Phone(318) 798-5918FaxUnlisted FaxMailing LocationMailing Address4719 Bruce St, Bossier City, LA 71111-2607Phone(318) 372-7035FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseOTT.200610Louisiana