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Individual

MARISSA L MERRITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, OTR/L

Contact information

Practice address
1969 W OGDEN AVE, CHICAGO, IL 60612-3765
(312) 864-6000
Mailing address
4128 N LEAVITT ST UNIT 1F, CHICAGO, IL 60618-2930
(703) 980-0566

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
10/17/2017
Last updated
10/17/2017
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