Provider Demographics
NPI:1033545108
Name:THE MARCO CENTER THERAPY SERVICES, LLC
Entity Type:Organization
Organization Name:THE MARCO CENTER THERAPY SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:NONE
Authorized Official - Last Name:CHRISTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:N/A
Authorized Official - Phone:602-319-3964
Mailing Address - Street 1:3391 E VIRGIL DR
Mailing Address - Street 2:
Mailing Address - City:GILBERT
Mailing Address - State:AZ
Mailing Address - Zip Code:85298-4286
Mailing Address - Country:US
Mailing Address - Phone:602-319-3964
Mailing Address - Fax:
Practice Address - Street 1:3391 E VIRGIL DR
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85298-4286
Practice Address - Country:US
Practice Address - Phone:602-319-3964
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-20
Last Update Date:2013-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Single Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty