| NPI | 1932419876 |
|---|---|
| Former Name | MARISSA MORIN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PTL18957) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: CA PT37169) |
| Enumeration Date | 2010-10-13 |
| Last Update Date | 2025-10-14 |