Individual
MARISSA ROSE KRIETEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1155 WESTWOOD DR, VAN WERT, OH 45891-2464
(419) 771-1015
Mailing address
20572 ROAD 23T, FORT JENNINGS, OH 45844-9366
(419) 604-2538
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OT012853
OH
Other
Enumeration date
06/26/2024
Last updated
06/26/2024
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