Individual
MARISSA GRACE ARCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1781 AZ-69, #27, PRESCOTT, AZ 86301
(928) 515-3118
Mailing address
4441 N LODGEPOLE CT, PRESCOTT VALLEY, AZ 86314-7690
(928) 308-0492
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
LPT-033971
AZ
Other
Enumeration date
01/02/2025
Last updated
01/02/2025
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