Doctor Name: | MR. ANDREJ VINCENT MARICH |
NPI Number: | 1740519800 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 3120 |
Business Practice Address: | 480 Central Ave Pearl Harbor, HI - 96860 |
Business Phone Number: | 8084711865 |
Business Fax Number: | |
Mailing Address: | 480 Central Ave, PEARL HARBOR |
State: | HI |
Postal Code: | 96860 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/18/2009 |
NPI Last Update Date: | 12/18/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 3120 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | HI |
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 |