Individual
MS. MARISA WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2780 26TH AVE, OAKLAND, CA 94601-1911
(510) 536-1838
Mailing address
2780 26TH AVE, OAKLAND, CA 94601-1911
(510) 536-1838
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2713
CA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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