Individual
MRS. MARIE PISCITELLI ENDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORTL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
769
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
435414
ALASKA BUSINESS LIC
AK
01
—
769
ALASKA OT LIC
AK
Enumeration date
12/20/2006
Last updated
07/08/2007
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