Provider Demographics
NPI:1326375502
Name:PERRETTO, MARCIA CRISTIANE (DPT)
Entity Type:Individual
Prefix:DR
First Name:MARCIA
Middle Name:CRISTIANE
Last Name:PERRETTO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7419 AVENIDA DEL MAR
Mailing Address - Street 2:APT.2702
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-4872
Mailing Address - Country:US
Mailing Address - Phone:954-394-4113
Mailing Address - Fax:561-366-2535
Practice Address - Street 1:7000 W PALMETTO PARK RD
Practice Address - Street 2:SUITE 210
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-3424
Practice Address - Country:US
Practice Address - Phone:561-366-2435
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-10
Last Update Date:2016-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT197342251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic