Individual
MARISSA MARIE ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
312 W PORTAL AVE, SAN FRANCISCO, CA 94127-1412
(415) 800-7674
Mailing address
912 6TH AVE, SAN BRUNO, CA 94066-3225
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
25313
CA
Other
Enumeration date
08/15/2023
Last updated
08/15/2023
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