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Audy Marlissa
NPI 1508021320 · on the registry since 2008
Practice
- Address
- 19431 Rue De Valore Apt 2g
Foothill Ranch, CA 92610 - Phone
- (949) 813-9210
- Organisation at this address
- Mission Pediatric Therapy Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-07-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California