Individual provider · Type 1 NPI
Marissa Agatha Sheppard, OTRL
Neurorehabilitation Occupational Therapist · Chula Vista, CA
NPI number
1063613313
Active
Practice location
1337 Blue Sage Way
Chula Vista, CA 91915-1616
Fax (619) 754-6907
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neurorehabilitation Occupational Therapist Primary | 225XN1300X | OT5938 (CA) |
Neurorehabilitation Occupational Therapist: Definition to come...
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About NPI 1063613313
Marissa Agatha Sheppard, OTRL's National Provider Identifier is 1063613313, issued on May 31, 2007. The primary taxonomy on file is Neurorehabilitation Occupational Therapist (225XN1300X), and the practice location is in Chula Vista, CA. The record was last updated on Jul 8, 2007.