Individual
MR. ANTHONY MARTIN MARRA III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
191 N MAIN ST, WELLSVILLE, NY 14895-1150
(158) 559-6401
Mailing address
303 KING ST, OLEAN, NY 14760-3741
(171) 637-3546
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12829-0
NY
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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