Individual
MARISSA MASTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3850 E BASELINE RD STE 109, MESA, AZ 85206-4403
(480) 818-4212
Mailing address
8621 E NORTHLAND DR, SCOTTSDALE, AZ 85251-1856
(480) 639-8869
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014045
AZ
Other
Enumeration date
02/26/2020
Last updated
02/26/2020
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