Provider Demographics
NPI:1992034268
Name:HARBE, MARILYN R (OT)
Entity Type:Individual
Prefix:
First Name:MARILYN
Middle Name:R
Last Name:HARBE
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:MARILYN
Other - Middle Name:R
Other - Last Name:WESSEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:446 SOMERSET DR
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89701-4503
Mailing Address - Country:US
Mailing Address - Phone:775-883-7814
Mailing Address - Fax:
Practice Address - Street 1:446 SOMERSET DR
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89701-4503
Practice Address - Country:US
Practice Address - Phone:775-883-7814
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-16
Last Update Date:2009-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV08-0057172V00000X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
No172V00000XOther Service ProvidersCommunity Health Worker