Individual
MARISSA COYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
726 E MAIN ST STE 102, MIDDLETOWN, NY 10940-2654
(845) 551-2605
Mailing address
476 AWOSTING RD, PINE BUSH, NY 12566-5566
(845) 551-2605
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011262-01
NY
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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