Individual
JOHANA MARIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
22 ROBERT R KASIN WAY, BEACON, NY 12508-1559
(845) 831-8704
Mailing address
188 TOWN VIEW DR, WAPPINGERS FALLS, NY 12590-7021
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
011916
NY
Other
Enumeration date
01/26/2022
Last updated
01/26/2022
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