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:
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Health care specialties

SpecialtyCodeLicense #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 last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750525234 NPPES
Florida Other PT24653 THERAPY LICENSE

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