Individual
MR. MARCELLO GIRAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.O CPED
Contact information
Practice address
10285 CHAMPION FARMS DR, LOUISVILLE, KY 40241-6150
(502) 425-1172
Mailing address
10285 CHAMPION FARMS DR, LOUISVILLE, KY 40241-6150
(502) 425-1172
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
164584
KY
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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