Provider Demographics
NPI:1356327944
Name:MARENICK, PAUL N (PT)
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:N
Last Name:MARENICK
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1701 WESTCHESTER DRIVE
Mailing Address - Street 2:SUITE 850
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27262-7254
Mailing Address - Country:US
Mailing Address - Phone:336-802-2400
Mailing Address - Fax:336-802-2001
Practice Address - Street 1:611 N LINDSAY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27262-4300
Practice Address - Country:US
Practice Address - Phone:336-802-2250
Practice Address - Fax:336-802-2251
Is Sole Proprietor?:No
Enumeration Date:2005-12-16
Last Update Date:2009-07-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC10225225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7211877Medicaid
NC7211877Medicaid
NC2507514AMedicare PIN