| Organization Name: | MARINA PHYSICAL THERAPY, INC |
| NPI Number: | 1528223013 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | WILLIAM F MANCHESTER (PRESIDENT) |
| Mailing Address: | 292 Reservation Rd Marina |
| State: | CA US |
| Postal Code: | 939333110 |
| Phone Number: | 8318838542 |
| Fax Number: | 8318838526 |
| NPI Enumeration Date: | 07/23/2008 |
| NPI Last Update Date: | 07/31/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2000X |
| License Number: | OPT281510 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Physical Therapy |
| Taxonomy Definition: | |