Individual
MISS MARISA HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, 1 WHITE OT/PT DEPARTMENT, PHILADELPHIA, PA 19104-4238
(215) 662-3260
Mailing address
3400 SPRUCE ST, 1 WHITE OT/PT DEPARTMENT, PHILADELPHIA, PA 19104-4238
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011650
PA
Other
Enumeration date
01/22/2016
Last updated
01/22/2016
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