Individual
MARISSA HENRIKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2708 NE 14TH STREET, SUITE 5 BUTTERFLY EFFECTS, POMPANO BEACH, FL 33064
(888) 880-9270
Mailing address
10800 BRIGHTON BAY BLVD NE, APT 8306, SAINT PETERSBURG, FL 33716-3478
(727) 502-7221
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
08/30/2012
Last updated
08/30/2012
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