Individual
MARLITA DIVENCENZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CHT
Contact information
Practice address
4806 TIMBER COMMONS DR, SUITE A, SANDUSKY, OH 44870-7161
(419) 627-2526
Mailing address
1033 WOODLAND CHASE, GRAFTON, OH 44044-1263
(419) 926-3410
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
OT-001887
OH
Other
Enumeration date
08/23/2007
Last updated
08/23/2007
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