Individual
MARISA SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
3196 KENNEDY BLVD STE 3, UNION CITY, NJ 07087-2468
(201) 223-4949
Mailing address
505 MANILA AVE, JERSEY CITY, NJ 07302-1723
(201) 286-0815
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00323100
NJ
Other
Enumeration date
05/19/2007
Last updated
07/08/2007
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