Provider Demographics
NPI:1437447380
Name:MARINO, SHARON (DPT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:MARINO
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 1:955 RIVERMONT DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15207-1347
Mailing Address - Country:US
Mailing Address - Phone:412-422-6911
Mailing Address - Fax:
Practice Address - Street 1:955 RIVERMONT DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15207-1347
Practice Address - Country:US
Practice Address - Phone:412-422-6911
Practice Address - Fax:412-422-6162
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT006825L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist