Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MARISSA AGATHA SHEPPARD, OTRL
Active Sole ProprietorMARISSA AGATHA SHEPPARD, OTRL is a Neurorehabilitation Occupational Therapist healthcare provider located in CHULA VISTA, California. NPI 1063613313 is currently active in the NPPES registry. Verify at CMS.
Neurorehabilitation Occupational Therapist · CHULA VISTA, CA
Registration Details
- NPI Number
- 1063613313
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 31, 2007 (19.249586836201 yrs)
- Last Updated
- Jul 8, 2007
- License
-
OT5938 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1337 BLUE SAGE WAYCHULA VISTA, CA, 919151616Browse CA providers · Browse ZIP 91915
- Phone
- 6193986990
- Fax
- 6197546907
- Primary Specialty
-
Neurorehabilitation Occupational Therapist
225XN1300X
Other Neurorehabilitation Occupational Therapist Providers in CHULA VISTA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. MARY MADELINE CONNOLLY | OTRL | 1124249057 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.