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NPI Code Detail

MEDICARE: MARC A COMRIE PT

MEDICARE: MARC A COMRIE 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 Therapist37462CA

General Provider Information

NPI Number : 1861799728
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARC A COMRIE PT
Provider Business Mailing Address
First Line : 27125 SIERRA HWY
Second Line : STE 203
City : CANYON COUNTRY
State : CA
Zip : 91351-5428
Country : US
Telephone Number : 661-250-9940
Fax Number : 661-250-9959
Provider Business Practice Location Address
First Line : 18039 SHERMAN WAY
Second Line :
City : RESEDA
State : CA
Zip : 91335-4630
Country : US
Telephone Number : 818-343-4303
Fax Number : 818-343-4484
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2011
Last Update Date : 02/11/2011

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Directions to “ MARC A COMRIE PT” Practice Location

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