Individual
MARISSA GREENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
395 MIDDLE RD, NANTICOKE, PA 18634-3806
(570) 735-2973
Mailing address
395 MIDDLE RD, NANTICOKE, PA 18634-3806
(570) 735-2973
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
06/19/2014
Last updated
01/07/2019
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