| NPI | 1508310467 |
|---|---|
| Former Name | MARISSA M SCHLEIS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: WI 13357) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: WI 13357-24) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2025-12-24 |