Individual
MARISSA ISLAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1901 N US HIGHWAY 87, BIG SPRING, TX 79720-0283
(432) 267-8216
Mailing address
3228 DUKE AVE, BIG SPRING, TX 79720-3517
(432) 935-3748
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
217067
TX
Other
Enumeration date
01/25/2022
Last updated
03/16/2023
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