Individual
MARISSA ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
420 CHARLETON DR, MEDINA, OH 44256-4318
(330) 861-8981
Mailing address
420 CHARLETON DR, MEDINA, OH 44256-4318
(330) 861-8981
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT011877
OH
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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