Individual
ELISA MARKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1811 WILSHIRE BLVD, SUITE 201, SANTA MONICA, CA 90403-5651
(310) 829-3320
(310) 829-3305
Mailing address
1010 CALIFORNIA AVE APT 101, SANTA MONICA, CA 90403-4181
(310) 394-7135
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2632
CA
Other
Enumeration date
03/19/2007
Last updated
01/29/2010
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