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Individual

MRS. SAMANTHA ROUSH MARRIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
2205 PINE ISLAND DR, NEW SMYRNA BEACH, FL 32168-8450
(321) 749-1674
Mailing address
2205 PINE ISLAND DR, NEW SMYRNA BEACH, FL 32168-8450

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA11074
FL

Other

Enumeration date
07/07/2011
Last updated
07/07/2011
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