Doctor Name: | MS. MICHELE SUE MARINO |
NPI Number: | 1235360728 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PTA |
License Number: | PTA |
Business Practice Address: | 563 Colony Park Dr Tallmadge, OH - 442782859 |
Business Phone Number: | 3306340973 |
Business Fax Number: | |
Mailing Address: | 563 Colony Park Dr, TALLMADGE |
State: | OH |
Postal Code: | 442782859 |
Phone Number: | 3306340973 |
Fax Number: | |
NPI Enumeration Date: | 07/31/2009 |
NPI Last Update Date: | 07/31/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | PTA |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |