Individual
MISS MICHELLE MARMATAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
536 OLD HOWELL RD, GREENVILLE, SC 29615-1969
(864) 244-3626
Mailing address
20756 STANFORD AVE, FAIRVIEW PARK, OH 44126-1433
(440) 668-0239
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OTA007163
OH
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/25/2018
Last updated
09/08/2021
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