Provider Demographics
NPI:1235896812
Name:SEMPELES, MARISSA ANNE
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:ANNE
Last Name:SEMPELES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2805 OLD POST RD STE 110
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3676
Mailing Address - Country:US
Mailing Address - Phone:717-635-2030
Mailing Address - Fax:
Practice Address - Street 1:2805 OLD POST RD STE 110
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3676
Practice Address - Country:US
Practice Address - Phone:717-635-2030
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty