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MARLAND FAITH MARIANO AMANTE P.T.
>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1366614463
Individual Registrant: MARLAND FAITH MARIANO AMANTE P.T.
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
12421 CENTRAL AVE SUITES A & B CHINO, CA 91710-2664 US
Tel: 949-375-8888 Fax: --
Tel: 949-375-8888 Fax: --
Contact information for business:
6510 EUCALYPTUS AVE CHINO, CA 91710-0101 US
Tel: 949-375-8888 Fax: --
Tel: 949-375-8888 Fax: --
Registration Information:
NPI: 1366614463
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Physical Therapist | CA | 36343 |
| N | 171W00000X | Other Service Providers Contractor | IL | 070015143 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
