Individual
MARIANNE W DODSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
501 VALLEY VIEW BLVD, ALTOONA, PA 16602-6410
(814) 944-5401
Mailing address
1578 SCHELLSBURG RD, CLAYSBURG, PA 16625-8710
(814) 239-8038
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002675L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023490012
—
PA
Enumeration date
11/01/2006
Last updated
07/08/2007
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