Individual
MARISSA N CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
728 2ND ST, MUKILTEO, WA 98275-1554
(425) 697-9820
(208) 643-7434
Mailing address
19420 84TH AVE W, EDMONDS, WA 98026-6102
(206) 465-3214
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT60140242
WA
Other
Enumeration date
10/24/2011
Last updated
08/01/2023
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