Most Relevant Information
Provider Data
| NPI Number: | 1003335357 |
| Provider Name: | MARISSA ANN SENIOR |
| Entity Type: | Individual |
| Taxonomy Code: | 222Q00000X |
| Specialty: | Developmental Therapist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/18/2017 |
| Last Updated: | 05/26/2020 |
Provider Practice Location
2928 JEFFERSON ST STE 100
CARLSBAD
CA
920082374
Practice Location Phone/Fax
| Phone: | 7606379996 |
| Fax: |
Provider Mailing Location
16782 VON KARMAN AVE STE 11
IRVINE
CA
926062417
Provider Mailing Phone/Fax
| Phone: | 9498332237 |
| Fax: |