Individual
MARCIA ROXANNE FOWLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2534 STEINWAY ST, ASTORIA, NY 11103-3702
(718) 777-5243
(718) 777-5250
Mailing address
445 A PENNSYLVANIA AVENUE, BROOKLYN, NY 11207
(718) 485-2959
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
003950-1
NY
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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