Individual
MARISA NICOLE TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
769 ROUTE 70 E STE C175, MARLTON, NJ 08053-2360
(609) 276-8553
Mailing address
516 4TH AVE, EGG HARBOR CITY, NJ 08215-4029
(609) 276-8553
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR01274500
NJ
Other
Enumeration date
01/06/2026
Last updated
01/06/2026
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