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Individual

MRS. MARIE LYNNE BIRCHANSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
22404 SWORDFISH DR, BOCA RATON, FL 33428-4610
(561) 302-6728
(561) 477-9947
Mailing address
22404 SWORDFISH DR, BOCA RATON, FL 33428-4610
(561) 302-6728

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT2135
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
OT 884183700
FL
Enumeration date
10/24/2006
Last updated
04/02/2012
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