Individual
DR. MARISSA DOLORES NILSSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1717 WILL O WISP DR STE 100, VIRGINIA BEACH, VA 23454-3102
(847) 642-2757
Mailing address
PO BOX 715868, PHILADELPHIA, PA 19171-5868
(804) 915-1910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119009618
VA
Other
Enumeration date
11/04/2022
Last updated
11/08/2022
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