Individual
ANA MARINHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
11111 BRUSH HOLLOW RD, MATTHEWS, NC 28105-7113
(424) 225-2313
Mailing address
11111 BRUSH HOLLOW RD, MATTHEWS, NC 28105-7113
(424) 225-2313
(310) 460-0099
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT42719
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB248011
MEDICARE PTAN
CA
Enumeration date
09/10/2015
Last updated
04/13/2018
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