Individual
MARISSA MASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3360 GATEWAY RD, BROOKFIELD, WI 53045-5115
(262) 923-7101
Mailing address
3360 GATEWAY RD, BROOKFIELD, WI 53045-5115
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7136-27
WI
Other
Enumeration date
08/04/2025
Last updated
08/04/2025
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