Provider Demographics
NPI:1013207380
Name:MARANAN, ALLAN (PT)
Entity Type:Individual
Prefix:MR
First Name:ALLAN
Middle Name:
Last Name:MARANAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16446 CEDAR RUN DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32828-6970
Mailing Address - Country:US
Mailing Address - Phone:407-381-7918
Mailing Address - Fax:
Practice Address - Street 1:16446 CEDAR RUN DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32828-6970
Practice Address - Country:US
Practice Address - Phone:407-381-7918
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-07
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist