Marlene Marie Derosa in Flagstaff - Physical Therapist
Marlene Marie Derosa - NPI 1851484117
Marlene Marie Derosa is a Physical Therapist in Flagstaff, Arizona. Marlene Marie Derosa practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Marlene Marie Derosa is 1851484117. The last update date is 2007-07-08.
Marlene Marie Derosa's current location address is 3285 S Skye Way, Flagstaff, Arizona. You can contact this provider via phone number 9287746626 and fax number 9282143277. The mailing address for Marlene Marie Derosa is 3285 S Skye Way, Flagstaff, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marlene Marie Derosa |
|---|---|
| Address | 3285 S Skye Way, Flagstaff, Arizona |
| Phone Number | 9287746626 |
| Fax Number | 9282143277 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1851484117 |
|---|---|
| Provider Enumeration Date | 2006-10-01 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3285 S Skye Way |
|---|---|
| City | Flagstaff |
| State | Arizona (AZ) |
| Post Code | 860019142 |
| Phone Number | 9287746626 |
| Fax Number | 9282143277 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 766 |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 782400001 | AZ | AHCCCS NUMBER |
Post Comment/ Review Below
What is the Marlene Marie Derosa's 1851484117?
The Marlene Marie Derosa's NPI (National Provider Identifier) Number is 1851484117. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marlene Marie Derosa?
The Marlene Marie Derosa is situated at 3285 S Skye Way, in the city of Flagstaff, state of AZ, with the zip code 860019142.
What is the Marlene Marie Derosa's specialty and taxonomy code?
The Marlene Marie Derosa's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.
On what date did Marlene Marie Derosa receive its 1851484117 assignment from the Centers for Medicare & Medicaid Services?
The Marlene Marie Derosa was assigned its 1851484117 on 2006-10-01, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Marlene Marie Derosa's details last updated?
The information pertaining to the Marlene Marie Derosa, including its address, specialty, and other details, was most recently updated on 2007-07-08.