Individual
MARISSA-LI GARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 N KENTUCKY AVE, WEST PLAINS, MO 65775-2028
(417) 257-5959
Mailing address
3312 VINTAGE DR, ROUND ROCK, TX 78664-7900
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
413521
TX
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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