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NPI Code Detail

MEDICARE: MARISSA WOZNIAK

MEDICARE:   MARISSA  WOZNIAK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2225X00000XOccupational Therapist08145MD

General Provider Information

NPI Number : 1063941110
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARISSA WOZNIAK
Provider Business Mailing Address
First Line : 20400 OBSERVATION DR STE 104
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-4086
Country : US
Telephone Number : 301-799-3304
Fax Number :
Provider Business Practice Location Address
First Line : 20400 OBSERVATION DR STE 104
Second Line :
City : GERMANTOWN
State : MD
Zip : 20876-4086
Country : US
Telephone Number : 301-540-0445
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2017
Last Update Date : 12/12/2024

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Directions to “ MARISSA WOZNIAK ” Practice Location

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