Individual
MRS. MARY ELIZABETH MARZULLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
600 EDEN ROAD, BUILDING I, LANCASTER, PA 17601-4205
(717) 299-4829
(717) 295-3453
Mailing address
127 EAST VINE STREET, LANCASTER, PA 17602
(717) 299-5314
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
PT00654E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013622030001
17
PA
Enumeration date
03/02/2007
Last updated
07/08/2007
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