Provider Demographics
NPI:1467215228
Name:EMHOFF, MARINA JEANNETTE (ATC)
Entity Type:Individual
Prefix:
First Name:MARINA
Middle Name:JEANNETTE
Last Name:EMHOFF
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26895 LA ALAMEDA APT 1224
Mailing Address - Street 2:
Mailing Address - City:MISSION VIEJO
Mailing Address - State:CA
Mailing Address - Zip Code:92691-7352
Mailing Address - Country:US
Mailing Address - Phone:661-428-4739
Mailing Address - Fax:
Practice Address - Street 1:26301 VIA ESCOLAR
Practice Address - Street 2:
Practice Address - City:MISSION VIEJO
Practice Address - State:CA
Practice Address - Zip Code:92692-3953
Practice Address - Country:US
Practice Address - Phone:661-428-4739
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer