NPI | 1801241617 |
---|---|
Former Name | MARISSA DORSEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07407) |
Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MD 07407) |
Enumeration Date | 2016-04-29 |
Last Update Date | 2022-07-06 |