Individual
MARISSA LANZARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
300 W 130TH ST, BRUNSWICK, OH 44212-2309
(330) 273-0842
Mailing address
756 N CARPENTER RD, BRUNSWICK, OH 44212-2260
(330) 321-3797
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
434741
OH
Other
Enumeration date
11/30/2023
Last updated
11/30/2023
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