Marissa Agatha Sheppard
Occupational Therapist - Neurorehabilitation
1337 Blue Sage Way
Chula Vista
, California 91915-1616
Marissa Agatha Sheppard
Occupational Therapist - Neurorehabilitation
1337 Blue Sage Way
Chula Vista
, California 91915-1616
(619) 754-6907
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Marissa Agatha Sheppard
- 1337 Blue Sage Way
- Chula Vista, CA
- Zip : 91915-1616
- Fax : (619) 754-6907
- Phone : (619) 398-6990
Second Address
- Marissa Agatha Sheppard
- 1337 Blue Sage Way
- Chula Vista, CA
- Zip : 91915-1616
- Fax : (619) 754-6907
- Phone : (619) 398-6990
Reviews
FAQs
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What type of doctor is Marissa Agatha Sheppard
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Is Marissa Agatha Sheppard a sole practitioner?
Is Marissa Agatha Sheppard accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT5938 | CA |
National Provider Identifier
| NPI | 1063613313 |
|---|---|
| Provider Name | Marissa Agatha Sheppard |
| First Address | Chula Vista, CA 91915-1616 |
| Second Address | Chula Vista, CA 91915-1616 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2007 |
| Last Update Date | 08/07/2007 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.