Individual
LISA MARNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
809 RAINTREE CT, WESTLAKE VILLAGE, CA 91361-1839
(617) 694-6902
Mailing address
809 RAINTREE CT, WESTLAKE VILLAGE, CA 91361-1839
(617) 694-6902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
9590
CA
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
9590
CA
225XG0600X
Gerontology Occupational Therapist
9590
CA
225XP0200X
Pediatric Occupational Therapist
Primary
9590
CA
Other
Enumeration date
12/10/2012
Last updated
01/16/2023
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