Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marisa Moore

Individual provider Occupational Therapist · NPI 1639903826

Marisa Moore is an Occupational Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2024.

Licensed in
CA
In the registry since
2024

Practice location Address checks out

4010 Morena Blvd Ste 103
San Diego, CA 92117-4547
Phone: (619) 356-1315
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 26840 (CA)

Record details

NPI number1639903826
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 29, 2024
Last updated in NPPESJuly 26, 2025
Certification dateJuly 26, 2025

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