Individual
MARISSA LEA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
19 ROBINSON RD, CLINTON, NY 13323-1418
(315) 853-6090
Mailing address
19 ROBINSON RD, CLINTON, NY 13323-1418
(315) 853-6090
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
Primary
—
—
Other
Enumeration date
07/08/2021
Last updated
07/08/2021
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