| Doctor Name: | MARIO JOHN DEMARTINO |
| NPI Number: | 1366657785 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 1222 |
| Business Practice Address: | 1450 East St Suite 2 Pittsfield, MA - 012015319 |
| Business Phone Number: | 4134420610 |
| Business Fax Number: | 4134420689 |
| Mailing Address: | 31 Gulf Rd, LANESBORO |
| State: | MA |
| Postal Code: | 012379702 |
| Phone Number: | 4134998902 |
| Fax Number: | |
| NPI Enumeration Date: | 05/10/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 1222 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| 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 |