Provider Demographics
NPI:1376973297
Name:ROHRER, MARISA (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARISA
Middle Name:
Last Name:ROHRER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18311 TIMBERLANE DR
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92886-5347
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7340 FIRESTONE BLVD
Practice Address - Street 2:SUITE 123
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-4100
Practice Address - Country:US
Practice Address - Phone:562-927-5820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-13
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA2494224Z00000X
CA16727225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant