Individual
MS. MA. MARISSA REMOLANA ACHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,CLT
Contact information
Practice address
304 W MAPLE AVENUE, AUBURN, IL 62615
(217) 438-6125
Mailing address
304 W MAPLE AVE, AUBURN, IL 62615-1177
(217) 438-6125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007318
IL
225X00000X
Occupational Therapist
16339
CA
225X00000X
Occupational Therapist
2004014249
MO
Other
Enumeration date
04/19/2007
Last updated
03/31/2018
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