Carissa Marzouka, OT
Occupational Therapist in Hollywood, FL. Individual provider (NPI-1).
NPI number1104567908
StatusActive
Last updated in NPPESApr 12, 2022
Details
- NPI
- 1104567908
- Entity type
- Individual (NPI-1)
- Name
- Carissa Marzouka
- Credential
- OT
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2022
- Certification date
- Apr 12, 2022
- Last updated
- Apr 12, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Practice location
2736 Hollywood BlvdHollywood, FL 33020-4808
Phone 954-603-1881
Mailing address
2736 Hollywood BlvdHollywood, FL 33020-4808
Phone 954-603-1881
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