Provider Demographics
NPI:1235845439
Name:MARCELO, FRANCESCA MICAELA VICTORIA (PTA)
Entity Type:Individual
Prefix:MS
First Name:FRANCESCA MICAELA
Middle Name:VICTORIA
Last Name:MARCELO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 N MAIN ST UNIT 303
Mailing Address - Street 2:
Mailing Address - City:SPRING VALLEY
Mailing Address - State:NY
Mailing Address - Zip Code:10977-4412
Mailing Address - Country:US
Mailing Address - Phone:845-400-6300
Mailing Address - Fax:
Practice Address - Street 1:54 N MAIN ST UNIT 303
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:NY
Practice Address - Zip Code:10977-4412
Practice Address - Country:US
Practice Address - Phone:845-400-6300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-30
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013574225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant