Individual
BRUNO MARCON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
630 CHURCHMANS ROAD, NEWARK, DE 19702
(302) 544-5055
Mailing address
105 MILHOLLAN DRIVE, ELKTON, MD 21921
(443) 553-0781
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
U1-0012654
DE
Other
Enumeration date
07/30/2024
Last updated
07/30/2024
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