Individual
MARCIA LAREW LIZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
4150 CLEMENT ST, NH, SAN FRANCISCO, CA 94121-1545
(415) 221-4810
Mailing address
17 FROST CT, MILL VALLEY, CA 94941-2215
(415) 388-7934
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
32827
CA
Other
Enumeration date
09/21/2006
Last updated
07/08/2007
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