Individual
MARISSA VITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTL/R
Contact information
Practice address
254 RIVER VISTA PL, TWIN FALLS, ID 83301-3006
(208) 734-7333
(208) 734-8350
Mailing address
254 RIVER VISTA PL, TWIN FALLS, ID 83301-3006
(208) 734-7333
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTL-2280
ID
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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