Provider Demographics
NPI:1851842868
Name:SOLORZANO, MARISSA MARIEL (ATC)
Entity Type:Individual
Prefix:MS
First Name:MARISSA
Middle Name:MARIEL
Last Name:SOLORZANO
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2345 FELIPE AVE
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:CA
Mailing Address - Zip Code:92251-8832
Mailing Address - Country:US
Mailing Address - Phone:760-554-3332
Mailing Address - Fax:
Practice Address - Street 1:2345 FELIPE AVE
Practice Address - Street 2:
Practice Address - City:IMPERIAL
Practice Address - State:CA
Practice Address - Zip Code:92251-8832
Practice Address - Country:US
Practice Address - Phone:760-554-3332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-14
Last Update Date:2016-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer