Organization
DENISE MARINO
Active
Other names
CDM-PT, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MARINO MPT (PHYSICAL THERAPIST)
(610) 269-1955
Entity
Organization
Contact information
Practice address
694 WHARTON BLVD, EXTON, PA 19341-1189
(610) 715-2702
Mailing address
1003 KIMBERLY LN, DOWNINGTOWN, PA 19335-4495
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
PT014270L
PA
261QM1300X
Multi-Specialty Clinic/Center
Primary
PT014270L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019300680001
—
PA
Enumeration date
03/24/2016
Last updated
06/13/2016
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