Individual
MARINA MARYASINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R/L
Contact information
Practice address
2513 HUBBARD ST, BROOKLYN, NY 11235-6222
(917) 648-1598
Mailing address
2513 HUBBARD ST, BROOKLYN, NY 11235-6222
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
237479
NY
Other
Enumeration date
04/05/2010
Last updated
04/05/2010
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