Whalio Doctors

NPI 1942638887

Marlayna Marie Gagnon, COTA

Practitioner Occupational Therapy Assistant Greentown, IN

Practice location

Address
9909 E 100 S, Greentown, IN 46936-9163
Phone
(765) 628-0605
Fax
(765) 628-3639
Mailing address
10958 E State Road 14, Akron, IN 46910-9458

Registered specialties

Occupational Therapy Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 32002478A (IN)

Registry record

NPI
1942638887
Entity type
Individual
Sex (as registered)
Female
NPI issued
30 Oct 2013
Record last updated
25 Jul 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.