Individual
MARISSA GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13413 NE LEROY HAGEN MEMORIAL DR, VANCOUVER, WA 98684-5967
(360) 604-4000
Mailing address
2000 FAIRWAY DR, KELSO, WA 98626-7900
(405) 403-9166
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC61663621
WA
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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