Provider Demographics
NPI:1275831943
Name:ROJAS, MARLENY (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARLENY
Middle Name:
Last Name:ROJAS
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 1:7881 CLEMSON ST
Mailing Address - Street 2:# 102
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-5369
Mailing Address - Country:US
Mailing Address - Phone:239-348-5130
Mailing Address - Fax:
Practice Address - Street 1:2330 IMMOKALEE RD
Practice Address - Street 2:SUITE 2
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1414
Practice Address - Country:US
Practice Address - Phone:239-596-0834
Practice Address - Fax:239-596-2155
Is Sole Proprietor?:No
Enumeration Date:2011-03-04
Last Update Date:2011-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT10607225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist