Healthcare Provider Details

I. General information

NPI: 1891690061
Provider Name (Legal Business Name): RITA M MARZEENA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6977 NAVAJO RD UNIT 445
SAN DIEGO CA
92119-1503
US

IV. Provider business mailing address

9316 WOODRUFF WAY
SANTEE CA
92071-2428
US

V. Phone/Fax

Practice location:
  • Phone: 619-962-0316
  • Fax:
Mailing address:
  • Phone: 602-478-2659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT24988
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: