Doctor Name: | ANDREW MAREK |
NPI Number: | 1477806305 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | 1219036 |
Business Practice Address: | 14100 Ranch Road 12 Unit 100 Wimberley, TX - 786760019 |
Business Phone Number: | 5128473300 |
Business Fax Number: | 5128473314 |
Mailing Address: | 14100 Ranch Road 12 Unit 100, WIMBERLEY |
State: | TX |
Postal Code: | 786760019 |
Phone Number: | 5128473300 |
Fax Number: | 5128473314 |
NPI Enumeration Date: | 10/16/2012 |
NPI Last Update Date: | 10/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 1219036 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |