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Individual

MR. BENJIE BRYAN DAYAO MARCELO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
68 WILLOW RD, MENLO PARK, CA 94025-3653
(866) 839-6979
Mailing address
6802 BONNIE RIDGE DR APT T2, BALTIMORE, MD 21209-2895
(443) 857-1961

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21662
MD
225100000X
Physical Therapist
Primary
34064
CA

Other

Enumeration date
09/27/2007
Last updated
03/22/2019
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