Individual
MS. ANN LOUISE MARSICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
18065 RED ROCKS DR, MONUMENT, CO 80132-8262
(303) 880-4273
Mailing address
18065 RED ROCKS DR, MONUMENT, CO 80132-8262
(303) 880-4273
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
994792
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05805325
—
CO
05
—
75987228
—
CO
Enumeration date
11/05/2006
Last updated
07/09/2007
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