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Individual

MRS. GERALDINE NOELIA MARINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
9361 S 300 E, SANDY, UT 84070-2902
(801) 826-5000
Mailing address
1714 E KIMSBROUGH RD, SANDY, UT 84092-3855
(347) 729-8540

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
009659-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
11437357-4201
UT

Other

Enumeration date
01/19/2009
Last updated
08/09/2022
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