Provider Demographics
NPI:1609671783
Name:MARRERO, ALYSSA (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:ALYSSA
Middle Name:
Last Name:MARRERO
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9051 CORAL CAPE ST
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34747-2292
Mailing Address - Country:US
Mailing Address - Phone:732-947-9892
Mailing Address - Fax:
Practice Address - Street 1:1370 CELEBRATION BLVD
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34747-5546
Practice Address - Country:US
Practice Address - Phone:407-870-1561
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-13
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225X00000X
FLOT25857225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist