Individual
MARISSA MARIE BENNWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
E5324 SUNSET RD, IRONWOOD, MI 49938-9342
(920) 843-7009
Mailing address
E5324 SUNSET RD, IRONWOOD, MI 49938-9342
(920) 843-7009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202008558
MI
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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