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Individual

MARISA LYN WALSH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
818 NEWTOWN RD, VIRGINIA BEACH, VA 23462-1116
(757) 473-8016
Mailing address
2117 COMMODORE CT, VIRGINIA BEACH, VA 23454-2802
(760) 623-9197

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.007910
IL
225X00000X
Occupational Therapist
13388
CA

Other

Enumeration date
07/23/2009
Last updated
06/26/2015
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