Individual
MARISA CARROZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
40 WHITE OAKS RD, HYDE PARK, NY 12538-1629
(860) 733-5524
Mailing address
40 WHITE OAKS RD, HYDE PARK, NY 12538-1629
(860) 733-5524
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
010094
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010094
NYS COTA LICENSE
NY
Enumeration date
04/16/2019
Last updated
09/26/2019
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