Individual
MRS. MARLISA LYNN NOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CHT, CLT
Contact information
Practice address
150 S MOUNT AUBURN RD, CAPE GIRARDEAU, MO 63703-4910
(573) 331-5153
(573) 331-5028
Mailing address
271 TAHLEQUAH LN, CAPE GIRARDEAU, MO 63701-8118
(573) 335-1069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2005032059
MO
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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