Individual
MARISSA PALANZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 W ARROW HWY UNIT 130, SAN DIMAS, CA 91773-2330
(909) 222-2745
Mailing address
1301 W ARROW HWY UNIT 130, SAN DIMAS, CA 91773-2330
(909) 222-2745
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2018
Last updated
12/04/2020
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