Individual
MARLENE STINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2319 DOVER AVE, FT MYERS, FL 33907-4218
(239) 931-0550
Mailing address
2319 DOVER AVE, FORT MYERS, FL 33907-4218
(239) 931-0550
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
13584
FL
Other
Enumeration date
07/24/2014
Last updated
07/24/2014
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