Individual
MARIKO PELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1000 US HIGHWAY 82 E, SHERMAN, TX 75090-1704
(903) 893-9636
Mailing address
2580 COLLIN MCKINNEY PKWY APT 4225, MCKINNEY, TX 75070-5266
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2127473
TX
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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