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Individual

MRS. MARLAYNA MARIE GAGNON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
9909 E 100 S, GREENTOWN, IN 46936-9163
(765) 628-0605
(765) 628-3639
Mailing address
10958 E STATE ROAD 14, AKRON, IN 46910-9458
(574) 505-0882

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32002478A
IN

Other

Enumeration date
10/30/2013
Last updated
07/25/2014
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