Individual
MARISSA NICOLE PRECOUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
337 LEMKE ST, MIDLAND, MI 48642-5926
(989) 492-7766
Mailing address
10264 SCOTT RD, FREELAND, MI 48623-8606
(989) 525-3424
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1902841414
—
MI
Enumeration date
08/08/2018
Last updated
08/08/2018
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