Individual
COURTNEY MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL, CCC-SLP
Contact information
Practice address
267 DELAHOW ST, DANIEL ISLAND, SC 29492-8277
(843) 670-1967
Mailing address
267 DELAHOW ST, DANIEL ISLAND, SC 29492-8277
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2771
SC
235Z00000X
Speech-Language Pathologist
Primary
4331
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH1385
—
SC
Enumeration date
10/10/2006
Last updated
12/16/2013
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