Individual
CELENE MARIE NASSIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0000908
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000908
OCCUPATIONAL THERAPY
CO
Enumeration date
06/14/2017
Last updated
06/16/2018
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