Individual
MARISSA MADDALENA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
1932 14TH ST, SANTA MONICA, CA 90404-4605
(310) 344-2276
Mailing address
608 SANTA CLARA AVE APT 4, VENICE, CA 90291-3464
(540) 542-9625
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
23494
CA
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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