Individual
MARYANNA ELISE MENDENHALL
Active
Individual
MARYANNA ELISE MENDENHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0119010614
VA
225XP0200X
Pediatric Occupational Therapist
OT210002360
DC
Other
Enumeration date
08/26/2024
Last updated
08/26/2024
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