Individual
MARJIE VANCE-GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1080 SILVER LAKE BLVD, DOVER, DE 19904-2410
(302) 734-5990
Mailing address
1080 SILVER LAKE BLVD, DOVER, DE 19904-2410
(302) 734-5990
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
U2000007A
DE
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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