Doctor Name: | MS. MICHELLE ANN MARINO |
NPI Number: | 1912042193 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 13349 |
Business Practice Address: | 11 Bartlett Rd Winthrop, MA - 021522912 |
Business Phone Number: | 6178460832 |
Business Fax Number: | 6178462594 |
Mailing Address: | 94 Undine Ave, WINTHROP |
State: | MA |
Postal Code: | 021522563 |
Phone Number: | 6178460823 |
Fax Number: | |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 13349 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |