Individual
ANN M MARRACCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
860 VIA DE LA PAZ, SUITE B1, PACIFIC PALISADES, CA 90272
(310) 573-9553
(310) 573-9533
Mailing address
860 VIA DE LA PAZ, SUITE B1, PACIFIC PALISADES, CA 90272
(310) 573-9553
(310) 573-9533
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
39850
CA
2251X0800X
Orthopedic Physical Therapist
PT00009032
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0178066
LABOR & INDUSTIRES
WA
05
—
7120694
—
WA
01
—
7801MA
REGENCE BS
WA
Enumeration date
07/26/2006
Last updated
02/20/2015
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