Individual
MARCI JEAN WALBORN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
20 COLD SPRINGS RD, MARYSVILLE, PA 17053-9424
(717) 443-7091
Mailing address
20 COLD SPRINGS RD, MARYSVILLE, PA 17053-9424
(717) 957-4373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC006496L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0019277140003
MEDICAL ASSISTANCE NUMBER
PA
Enumeration date
04/24/2007
Last updated
06/11/2019
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