| NPI | 1366859563 |
|---|---|
| Former Name | MARISSA HARPER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: TX 1347071) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NJ 40QA01766700) |
| 225100000X Physical Therapist (Licence: NH 4304) | |
| 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: CT 946) | |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2023-07-24 |