Individual
MARISSA GREENFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2104 12TH ST, HARLAN, IA 51537-2023
(712) 755-5174
Mailing address
18824 110TH RD, BIRMINGHAM, IA 52535-8172
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
083629
IA
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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