Individual
CHRISTY L MARINARO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7900 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7513
(303) 817-9041
Mailing address
7900 CONSTITUTION AVE NE, ALBUQUERQUE, NM 87110-7513
(303) 817-9041
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-1253
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA-1253
STATE OF NEW MEXICO
NM
Enumeration date
06/11/2019
Last updated
06/11/2019
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