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NPI Code Detail

MEDICARE: MS. TAMARA MARSHALL MARENICK PT

MEDICARE:  MS. TAMARA MARSHALL MARENICK  PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist10226NC

General Provider Information

NPI Number : 1588797377
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. TAMARA MARSHALL MARENICK PT
Provider Business Mailing Address
First Line : 2951 LOGBRIDGE RD
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-8232
Country : US
Telephone Number : 336-880-2834
Fax Number :
Provider Business Practice Location Address
First Line : 714 GREEN VALLEY RD
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7018
Country : US
Telephone Number : 336-370-8100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 04/13/2026

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Directions to “ MS. TAMARA MARSHALL MARENICK PT” Practice Location

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