MISS Marissa Nicole Larson, COTA/L
NPI #1366954653 in Hazleton, Pennsylvania
Provider Information
- NPI Number
- 1366954653
- Entity Type
- Individual
- Name
- MISS Marissa Nicole Larson, COTA/L
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA/L
- Enumeration Date
- Oct 26, 2017
- Last Updated
- Oct 26, 2017
Practice Location
- Address
- 1000 STACIE DR
- City
- Hazleton
- State
- Pennsylvania
- ZIP Code
- 18201-5690
- Phone
- (570) 453-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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