MEDICARE: MRS. MARINA ANGELA DELAO

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
1	225200000X	Physical Therapy Assistant

General Provider Information

NPI Number	:	1427989532
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARINA ANGELA DELAO

Provider Business Mailing Address
First Line	:	1302 RAINBOW PARKE DR
Second Line	:
City	:	ROUND ROCK
State	:	TX
Zip	:	78665-8023
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 E CESAR CHAVEZ ST STE A
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78702-4401
Country	:	US
Telephone Number	:	737-204-8361
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2026
Last Update Date	:	05/27/2026

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