Doctor Name: | MAIRA S. MARIK |
NPI Number: | 1396786802 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 9827-024 |
Business Practice Address: | 14555 W National Ave Suite 170 New Berlin, WI - 531514494 |
Business Phone Number: | 2628273636 |
Business Fax Number: | 2628273626 |
Mailing Address: | 3003 W Good Hope Rd, MILWAUKEE |
State: | WI |
Postal Code: | 532092042 |
Phone Number: | 4143523100 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2006 |
NPI Last Update Date: | 12/27/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9827-024 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
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 |