Individual
ANDREA DE MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHS, OTR/L
Contact information
Practice address
835 S COAST HWY, OCEANSIDE, CA 92054-4122
(760) 444-4733
Mailing address
2507 WILLENHALL WAY, LITHONIA, GA 30058-3884
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
004431
GA
225XP0200X
Pediatric Occupational Therapist
Primary
OT10597
CA
Other
Enumeration date
04/03/2007
Last updated
04/24/2019
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