DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. MARISSA ANN MUNDY, OTR/L

Active Sole Proprietor

MS. MARISSA ANN MUNDY, OTR/L is a Occupational Therapist healthcare provider located in BROAD CHANNEL, New York. NPI 1013464585 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · BROAD CHANNEL, NY

Registration Details

NPI Number
1013464585
Provider Type
Individual
Gender
Female
NPI Issued
Sep 1, 2016 (9.7704341296594 yrs)
Last Updated
Sep 1, 2016
License
020869 (NY)
Sole Proprietor
Yes

Practice Information

Address
55 WEST 15TH ROAD
BROAD CHANNEL, NY, 11693
Browse NY providers · Browse ZIP 11693
Phone
9179728157
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in BROAD CHANNEL, NY

Name Credential NPI
ALLISON ANN MOYNIHAN OTR 1588387245
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.