Individual
MARISSA EMMERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2701 CHESTNUT STATION CT, LOUISVILLE, KY 40299-6395
(800) 335-1060
Mailing address
412 E 21ST ST, FERDINAND, IN 47532-9107
(812) 301-2007
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
383873
IN
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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