Individual
MARLEEN GRACE HERRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,CHT,CLT-LANA
Contact information
Practice address
1810 WHITE CIR, MARIETTA, GA 30066-5835
(770) 426-9945
Mailing address
4918 PAYSON WAY SE, SMYRNA, GA 30080-7379
(480) 695-9493
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
0798
AZ
225XH1200X
Hand Occupational Therapist
Primary
OT005370
GA
Other
Enumeration date
01/22/2008
Last updated
03/08/2012
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