Individual
DENISE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
694 WHARTON BLVD, EXTON, PA 19341-1189
(610) 715-2702
Mailing address
694 WHARTON BLVD, EXTON, PA 19341-1189
(610) 715-2702
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT014270L
PA
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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