Individual
MARISSA JADE STANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3331 HENRY RD, ANNISTON, AL 36207-6343
(256) 499-1936
Mailing address
3424 HWY 9 SOUTH, PIEDMONT, AL 36272-7035
(256) 347-5206
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA 4888
AL
225X00000X
Occupational Therapist
Primary
5395
AL
Other
Enumeration date
06/08/2010
Last updated
07/15/2021
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