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MARLAND FAITH MARIANO AMANTE P.T.

>> Physical Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1366614463

Individual Registrant:
 MARLAND FAITH MARIANO AMANTE P.T.
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: --

Contact information for business:
6510 EUCALYPTUS AVE  CHINO, CA 91710-0101 US
Tel: 949-375-8888  Fax: --

Registration Information:
NPI: 1366614463
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
CA36343
N171W00000XOther Service Providers
Contractor
IL070015143

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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