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Marceline Slack, COTA/L

NPI 1447626510 · on the registry since 2015

Practice

Address
5602 205th St
Mediapolis, IA 52637
Phone
(319) 572-2745
Clinicians at this address
2

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
TX
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-08-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Iowa