Individual
MRS. MARISA DAWN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
497 MAIN ST, GROTON, MA 01450-1298
(978) 448-4001
Mailing address
15 TURNER RD, TOWNSEND, MA 01469-1368
(978) 597-0908
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7901
MA
Other
Enumeration date
02/21/2008
Last updated
01/20/2010
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