Individual
MARISSA ELGUEZABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
1317 W FOOTHILL BLVD STE 130, UPLAND, CA 91786-3684
(800) 741-1164
Mailing address
1317 W FOOTHILL BLVD STE 130, UPLAND, CA 91786-3684
(800) 741-1164
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6559
CA
Other
Enumeration date
02/13/2026
Last updated
02/13/2026
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