Provider Demographics
NPI:1033389796
Name:GIURLEO, MARIANNE ROSE (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIANNE
Middle Name:ROSE
Last Name:GIURLEO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02155-1519
Mailing Address - Country:US
Mailing Address - Phone:781-395-3832
Mailing Address - Fax:
Practice Address - Street 1:40 ROBINSON RD
Practice Address - Street 2:
Practice Address - City:MEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02155-1519
Practice Address - Country:US
Practice Address - Phone:781-395-3832
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-09
Last Update Date:2008-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6719225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist