Isaac, Marisa Ball
Isaac, Marisa Ball is an individual health care provider with primary practice located at 2180 A1A S Ste 100 , Saint Augustine FL 32080-6523. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Isaac, Marisa Ball can be contacted via phone (904) 689-3336.Contact Information
Primary practice address
2180 A1A S Ste 100
Saint Augustine FL 32080-6523
Phone: (904) 689-3336
Fax: (904) 779-3213
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT24653 | Florida |
Profile Details
| NPI number | 1750525234 |
|---|---|
| LBN Legal business name | Isaac, Marisa Ball |
| Credentials | D.P.T. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2009 |
| Last updated | Apr 24th, 2024 - about 5 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1750525234 | NPPES |
| Florida | Other | PT24653 | THERAPY LICENSE |
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