Individual
MARISSA BRITT SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
310 GENESIS WAY, SEVERNA PARK, MD 21146-1762
(410) 544-4220
(410) 647-9484
Mailing address
8671 SCORTON HARBOUR, PASADENA, MD 21122-6513
(410) 360-2719
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01790
MD
Other
Enumeration date
11/14/2011
Last updated
11/14/2011
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