Provider Demographics
NPI:1982437703
Name:MORRISON, MARISA (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:MARISA
Middle Name:
Last Name:MORRISON
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2188 NORFOLK APT 104
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-3168
Mailing Address - Country:US
Mailing Address - Phone:214-315-9691
Mailing Address - Fax:
Practice Address - Street 1:900 WILSHIRE DR STE 110
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-1637
Practice Address - Country:US
Practice Address - Phone:248-561-1825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-26
Last Update Date:2024-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201013957225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist