Individual
MARLEY NISSENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1506A ALLEN ST, SPRINGFIELD, MA 01118-1817
(413) 783-5500
Mailing address
155 BUTLER RD, MONSON, MA 01057-9208
(413) 286-5852
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
MA
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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