MARISSA REDDING

MOUNTAIN HOME AFB, ID
NPI1851761209
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: ID  1519)
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
-- MARISSA REDDING COTA
8051B EICHENLAUB CT
MOUNTAIN HOME AFB, ID 83648-1094
Phone number: 610-762-9612
Mailing Address
-- MARISSA REDDING COTA
8051B EICHENLAUB CT
MOUNTAIN HOME AFB, ID 83648-1094
Phone number: 610-762-9612