Healthcare Provider Details

I. General information

NPI: 1629750872
Provider Name (Legal Business Name): SAMANTHA CHRISTINE MARINO PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2023
Last Update Date: 03/19/2025
Certification Date: 03/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1502 SPRUCE AVE
WILMINGTON DE
19805-2148
US

IV. Provider business mailing address

3 LINN CT
BEAR DE
19701-1351
US

V. Phone/Fax

Practice location:
  • Phone: 302-552-3700
  • Fax:
Mailing address:
  • Phone: 484-388-9567
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP22498
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number032210
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License Number0014868
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: