Individual provider · NPI-1
Marissa Cruse, COTA
Occupational Therapy Assistant · Franklin, TN
NPI number1699469114
StatusActive
Last updated in NPPESJun 7, 2023
Details
- NPI
- 1699469114
- Entity type
- Individual (NPI-1)
- Name
- Marissa Cruse
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 7, 2023
- Certification date
- Jun 7, 2023
- Last updated
- Jun 7, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | Pending | TN | Yes |
Practice location
200 Strahl StFranklin, TN 37064-3556
Phone 615-791-1103
Mailing address
3722 Burrus StNashville, TN 37216-2630
Phone 605-354-5269
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