Individual
MARISSA LASALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR01140200
NJ
225X00000X
Occupational Therapist
OC019881
PA
225X00000X
Occupational Therapist
Primary
OT.0008209
CO
Other
Enumeration date
12/21/2024
Last updated
04/15/2025
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