Individual provider · Type 1 NPI

Charles Marisa

Rehabilitation Practitioner · Covina, CA

NPI number 1821292459 Active

Practice location

1126 N Grand Ave, Suite D
Covina, CA 91724-1551

Call (626) 967-1667 Map

Fax (626) 967-6027

Mailing address

711 W Blaine Street, Suite C/d
Riverside, CA 92507

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

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About NPI 1821292459

Charles Marisa's National Provider Identifier is 1821292459, issued on Jun 14, 2007. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in Covina, CA. The record was last updated on Apr 30, 2025.