Individual
MELANIE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
864 US HIGHWAY 158 BUS W, WARRENTON, NC 27589-9789
(252) 257-2121
Mailing address
3413 BUCK RUN TRL, WAKE FOREST, NC 27587-8851
(301) 408-8077
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5098
NC
Other
Enumeration date
06/20/2013
Last updated
06/20/2013
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