Love, Marisa
Love, Marisa is an individual health care provider with primary practice located at 1931 Black Rock Tpke , Fairfield CT 06825-3506. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer is her primary health care specialty. Love, Marisa can be contacted via phone (203) 384-8681.Contact Information
Primary practice address
1931 Black Rock Tpke
Fairfield CT 06825-3506
Phone: (203) 384-8681
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 225XP0200X | 002257 | Connecticut |
Profile Details
| NPI number | 1003944091 |
|---|---|
| LBN Legal business name | Love, Marisa |
| Credentials | ATC OTRL |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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