| NPI | 1871108837 |
|---|---|
| Former Name | MARISSA BISACCIO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 7005) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 024962) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-12-12 |