Individual
MS. MARISHA AILEEN LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
4025 N SHARON AMITY RD, CHARLOTTE, NC 28205-4975
(704) 569-9661
Mailing address
200 BRICKSTONE SQ, SUITE 301, ANDOVER, MA 01810-1437
(978) 474-7500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6610
NC
Other
Enumeration date
08/28/2007
Last updated
11/16/2011
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