Individual
MISS MARIELLE ANCKERMANN CUI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR, OTRP
Contact information
Practice address
575 8TH AVE, NEW YORK, NY 10018-3011
(929) 284-8117
Mailing address
2237 ELLIS AVE, BRONX, NY 10462-5105
(929) 284-8117
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
022900-1
NY
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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