Individual
MRS. MARISA LEIGH DUIVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3491 M40, HAMILTON, MI 49419
(369) 751-2150
(269) 751-2140
Mailing address
1979 JANSEN WOODS CT, DORR, MI 49323-9452
(616) 970-4306
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202004693
MI
Other
Enumeration date
07/12/2006
Last updated
05/16/2012
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