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NPI Code Detail

MEDICARE: MARIELLE DECENA PT, DPT

MEDICARE:   MARIELLE  DECENA  PT, DPT
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
1225200000XPhysical Therapy AssistantPT1312489WA
2225100000XPhysical TherapistPT1312489WA

General Provider Information

NPI Number : 1053000620
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIELLE DECENA PT, DPT
Provider Business Mailing Address
First Line : 8750 GREENWOOD AVE N STE S1
Second Line :
City : SEATTLE
State : WA
Zip : 98103-3684
Country : US
Telephone Number : 206-782-5789
Fax Number :
Provider Business Practice Location Address
First Line : 8750 GREENWOOD AVE N STE S1
Second Line :
City : SEATTLE
State : WA
Zip : 98103-3684
Country : US
Telephone Number : 206-782-5789
Fax Number : 206-782-5794
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2023
Last Update Date : 05/02/2023

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Directions to “ MARIELLE DECENA PT, DPT” Practice Location

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