Doctor Name: | MARJO IGNACIO MALANO |
NPI Number: | 1437240439 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHYSICAL THERAPIST |
License Number: | 30286 |
Business Practice Address: | 4501 Sand Creek Rd Antioch, CA - 945318687 |
Business Phone Number: | 9258137700 |
Business Fax Number: | |
Mailing Address: | 1800 Harrison St, 7th Floor OAKLAND |
State: | CA |
Postal Code: | 946123466 |
Phone Number: | 9258136500 |
Fax Number: | |
NPI Enumeration Date: | 09/27/2006 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 30286 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
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 |