Individual
MISS MARISSA NICOLE PINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3 WALNUT ST, B5, RYE, NY 10580-2863
(845) 893-2513
Mailing address
3 WALNUT ST, B5, RYE, NY 10580-2863
(845) 893-2513
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
010750-0
NY
Other
Enumeration date
10/14/2008
Last updated
10/14/2008
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