Individual
MS. MARY KATHERINE MARZANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
15350 W NATIONAL AVE, SUITE #109, NEW BERLIN, WI 53151-5158
(262) 789-0970
(262) 789-7817
Mailing address
3719 N 86TH ST, MILWAUKEE, WI 53222-2829
(414) 463-9882
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3199-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36126500
—
WI
Enumeration date
07/12/2006
Last updated
07/08/2007
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