Doctor Name: | DR. MICHAEL PAUL MAROLLA |
NPI Number: | 1326114273 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 40QA01186500 |
Business Practice Address: | 2025 Hamburg Tpke Suite E Wayne, NJ - 074706260 |
Business Phone Number: | 9738352827 |
Business Fax Number: | 9738351856 |
Mailing Address: | 16 Lodge Pole Lane, HAMBURG |
State: | NJ |
Postal Code: | 07419 |
Phone Number: | 9738352827 |
Fax Number: | 9738351856 |
NPI Enumeration Date: | 11/24/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 40QA01186500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |