Individual
MRS. TANYA MARVINNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
156 ROUTE 302, PINE BUSH, NY 12566
(845) 744-2031
(845) 744-6189
Mailing address
125 MONAHAN RD., PORT JERVIS, NY 12771
(845) 856-3525
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003430-1
NY
Other
Enumeration date
02/01/2011
Last updated
02/01/2011
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