Individual
MARYANNE KUPRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1937 JENKS AVE, PANAMA CITY, FL 32405-4510
(850) 763-9331
Mailing address
1937 JENKS AVE, PANAMA CITY, FL 32405-4510
(850) 763-9331
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA285
FL
Other
Enumeration date
05/28/2014
Last updated
05/28/2014
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