Provider Demographics
NPI:1437878873
Name:MARIGLIANO, ERIKA JADE (DPT)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:JADE
Last Name:MARIGLIANO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8402 CENTENNIAL PKWY STE 240
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89149-4793
Mailing Address - Country:US
Mailing Address - Phone:702-294-7499
Mailing Address - Fax:702-294-7494
Practice Address - Street 1:8402 CENTENNIAL PKWY STE 240
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89149-4793
Practice Address - Country:US
Practice Address - Phone:702-294-7499
Practice Address - Fax:702-294-7494
Is Sole Proprietor?:No
Enumeration Date:2022-08-26
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5036225100000X
CA3027702251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic