Provider Demographics
NPI:1497261366
Name:FUHRMAN, MARISSA ANN (DPT)
Entity Type:Individual
Prefix:
First Name:MARISSA
Middle Name:ANN
Last Name:FUHRMAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MARISSA
Other - Middle Name:ANN
Other - Last Name:BUNGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1777 W SAINT MARYS RD
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-2687
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1777 W SAINT MARYS RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-2687
Practice Address - Country:US
Practice Address - Phone:520-884-9818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-14
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist