Individual
MARIANNE H MORTERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, OTR/L
Contact information
Practice address
180 W END AVE, SUITE 1M, NEW YORK, NY 10023-4902
(212) 600-4781
(800) 655-3780
Mailing address
439 2ND ST, APT. 1L, BROOKLYN, NY 11215-2563
(718) 930-9276
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
004374-1
NY
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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