Individual
LIEZEL MARQUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
29 BANBURY WAY, UNIT 1103, NEWBURGH, NY 12550-7410
(845) 787-4333
Mailing address
29 BANBURY WAY, UNIT 1103, NEWBURGH, NY 12550-7410
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
009178-1
NY
225XP0200X
Pediatric Occupational Therapist
Primary
009178-1
NY
Other
Enumeration date
01/16/2007
Last updated
01/04/2009
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