Individual
LAURA JEAN MARCUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
13 VINCENT WAY, CUMBERLAND, RI 02864-2846
(401) 733-3225
Mailing address
13 VINCENT WAY, CUMBERLAND, RI 02864-2846
(401) 733-3225
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4504
MA
224Z00000X
Occupational Therapy Assistant
Primary
OTA01119
RI
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
09/07/2020
Last updated
09/07/2020
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