Provider Demographics
NPI:1174840987
Name:HARNIG, MARIANNE V (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:V
Last Name:HARNIG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 SWEET PINE PT
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-6689
Mailing Address - Country:US
Mailing Address - Phone:352-232-2478
Mailing Address - Fax:
Practice Address - Street 1:904 SWEET PINE PT
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-6689
Practice Address - Country:US
Practice Address - Phone:352-232-2478
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-03
Last Update Date:2010-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT6678225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist