Wynn, Marian Rose

Wynn, Marian Rose is an individual health care provider with primary practice located at 5225 Nesconset Hwy Ste 30 , Port Jeff Sta NY 11776-2060. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Wynn, Marian Rose can be contacted via phone (631) 473-4284.

Contact Information

Primary practice address
5225 Nesconset Hwy Ste 30 Port Jeff Sta NY 11776-2060
Phone: (631) 473-4284
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 008016 New York

Profile Details

NPI number 1396176285
LBN Legal business name Wynn, Marian Rose
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2013
Last updated Dec 3rd, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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