Doctor Name: | KRISTINE E MARINELLO |
NPI Number: | 1548298698 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT22712 |
Business Practice Address: | 736 Johnson Ferry Rd Suite A-12 Marietta, GA - 300684379 |
Business Phone Number: | 7703214721 |
Business Fax Number: | 7705797060 |
Mailing Address: | 5559 Glenridge Dr Ne, Suite 1104 ATLANTA |
State: | GA |
Postal Code: | 303427203 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/29/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT22712 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
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 |