Individual
MARISA THOMAS EASTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1406 TODDS LN, HAMPTON, VA 23666-2945
(757) 825-4627
(757) 896-6731
Mailing address
22 RAYMOND DR, HAMPTON, VA 23666-2642
(757) 825-1191
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202002096
VA
Other
Enumeration date
12/11/2017
Last updated
12/11/2017
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