| NPI | 1447832761 |
|---|---|
| Former Name | MARISSA ALEXA MITCHELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XR0403X Occupational Therapist, Driving and Community Mobility (Licence: NY 024950) |
| Enumeration Date | 2021-04-26 |
| Last Update Date | 2024-11-20 |