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1730466186
MARISSA BRITT SMALL
SEVERNA PARK, MD
NPI
1730466186
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: MD A01790)
Enumeration Date
2011-11-14
Last Update Date
2011-11-14
Business Address
-- MARISSA BRITT SMALL COTA/L
310 GENESIS WAY
SEVERNA PARK, MD 21146-1762
Phone number: 410-544-4220
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Mailing Address
-- MARISSA BRITT SMALL COTA/L
8671 SCORTON HARBOUR
PASADENA, MD 21122-6513
Phone number: 410-360-2719
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