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NPI Code Detail

MEDICARE: MS. DONNA MARIE MARBLE I

MEDICARE: MS. DONNA MARIE MARBLE I
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
1224Z00000XOccupational Therapy Assistant0449NH

General Provider Information

NPI Number : 1215571781
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DONNA MARIE MARBLE I
Provider Business Mailing Address
First Line : 105 EASTERN AVE
Second Line :
City : ROCHESTER
State : NH
Zip : 03867-2007
Country : US
Telephone Number : 630-332-2848
Fax Number :
Provider Business Practice Location Address
First Line : 105 EASTERN AVE
Second Line :
City : ROCHESTER
State : NH
Zip : 03867-2007
Country : US
Telephone Number : 603-332-2848
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2019
Last Update Date : 10/29/2019

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Directions to “ MS. DONNA MARIE MARBLE I ” Practice Location

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