Desjardins, Marissa Lynn

Desjardins, Marissa Lynn is an individual health care provider with primary practice located at 8240 W. Cactus Rd. Oakeson Physical Therapy , Peoria AZ 85381. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is her primary health care specialty. Desjardins, Marissa Lynn can be contacted via phone (623) 878-9696.

Contact Information

Primary practice address
8240 W. Cactus Rd. Oakeson Physical Therapy Peoria AZ 85381
Phone: (623) 878-9696
Fax: (623) 776-0668
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 6532 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 6532 Arizona

Profile Details

NPI number 1083112106
LBN Legal business name Desjardins, Marissa Lynn
Credentials PT, DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2018
Last updated Mar 30th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083112106 NPPES
Arizona MEDICAID 388526

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