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NPI Code Detail

MEDICARE: LORRAINE JOYLL MARCINKOWSKI P.T.

MEDICARE: LORRAINE JOYLL MARCINKOWSKI P.T.
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 TherapistPT15424CA

General Provider Information

NPI Number : 1598987554
Entity Type Code : Individual
Provider Name (Legal Business Name) : LORRAINE JOYLL MARCINKOWSKI P.T.
Provider Business Mailing Address
First Line : 2970 CAMINO DIABLO STE 100
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94597-4001
Country : US
Telephone Number : 925-284-4486
Fax Number : 925-362-4236
Provider Business Practice Location Address
First Line : 2970 CAMINO DIABLO STE 100
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94597-4001
Country : US
Telephone Number : 925-284-4486
Fax Number : 925-362-4236
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2007
Last Update Date : 06/05/2025

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Directions to “ LORRAINE JOYLL MARCINKOWSKI P.T.” Practice Location

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