Individual
CHRISTY NEIGHT MARINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LOTR
Contact information
Practice address
203 GOLDENWOOD DR, SLIDELL, LA 70461-4212
(985) 649-3293
(985) 892-0163
Mailing address
203 GOLDENWOOD DR, SLIDELL, LA 70461-4212
(985) 649-3293
(985) 892-0163
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
Z10305
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1-31660-1
—
LA
01
—
Z10305
O.T. LICENSE
LA
Enumeration date
03/13/2007
Last updated
07/08/2007
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