Individual
MISS MARISA L FIORENTINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1781 AZ-69, SUITE 28, PRESCOTT, AZ 86301
(623) 242-6908
Mailing address
759 MORGAN RD, BINGHAMTON, NY 13903-6205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-008512
AZ
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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