| Doctor Name: | ANN M MARRACCINI |
| NPI Number: | 1205850187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT00009032 |
| Business Practice Address: | 860 Via De La Paz Suite B1 Pacific Palisades, CA - 90272 |
| Business Phone Number: | 3105739553 |
| Business Fax Number: | 3105739533 |
| Mailing Address: | 860 Via De La Paz, Suite B1 PACIFIC PALISADES |
| State: | CA |
| Postal Code: | 90272 |
| Phone Number: | 3105739553 |
| Fax Number: | 3105739533 |
| NPI Enumeration Date: | 07/26/2006 |
| NPI Last Update Date: | 02/20/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251X0800X |
| License Number: | PT00009032 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |