Individual
MRS. MARISSA LYNN DESJARDINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
8240 W. CACTUS RD. OAKESON PHYSICAL THERAPY, PEORIA, AZ 85381
(623) 878-9696
(623) 776-0668
Mailing address
8240 W. CACTUS RD. OAKESON PHYSICAL THERAPY, PEORIA, AZ 85381
(623) 878-9696
(623) 776-0668
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
6532
AZ
2251X0800X
Orthopedic Physical Therapist
Primary
6532
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388526
—
AZ
Enumeration date
01/23/2018
Last updated
03/30/2020
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