MARISSA AGATHA SHEPPARD

CHULA VISTA, CA
NPI1063613313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XN1300X Occupational Therapist Neurorehabilitation
(Licence: CA  OT5938)
Enumeration Date2007-05-31
Last Update Date2007-07-08
Business Address
MARISSA AGATHA SHEPPARD OTRL
1337 BLUE SAGE WAY
CHULA VISTA, CA 91915-1616
Phone number: 619-398-6990
Mailing Address
MARISSA AGATHA SHEPPARD OTRL
1337 BLUE SAGE WAY
CHULA VISTA, CA 91915-1616
Phone number: 619-398-6990
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