Individual
MARISSA GARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
307 INTERNATIONAL CIR STE 100, HUNT VALLEY, MD 21030-1387
(513) 268-4924
Mailing address
PO BOX 1149, MORAVIA, NY 13118-1149
(315) 364-7570
(315) 364-8016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
024693
NY
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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