Individual
MARISSA HULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
75 JONES AND GIFFORD AVE, JAMESTOWN, NY 14701-2828
(716) 661-1541
Mailing address
200 DUNHAM AVE, JAMESTOWN, NY 14701-2528
(716) 661-1408
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
010369
NY
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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