Provider Demographics
NPI:1861737058
Name:SALEMI, MARISSA ELIZABETH (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:MARISSA
Middle Name:ELIZABETH
Last Name:SALEMI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:MARISSA
Other - Middle Name:ELIZABETH
Other - Last Name:GINLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:46 HOLMES PL
Mailing Address - Street 2:
Mailing Address - City:FREDONIA
Mailing Address - State:NY
Mailing Address - Zip Code:14063-1214
Mailing Address - Country:US
Mailing Address - Phone:716-410-1846
Mailing Address - Fax:
Practice Address - Street 1:10714 NORTH RD
Practice Address - Street 2:
Practice Address - City:PERRYSBURG
Practice Address - State:NY
Practice Address - Zip Code:14129-9746
Practice Address - Country:US
Practice Address - Phone:716-532-1049
Practice Address - Fax:716-532-0679
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2019-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017629-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist