Provider Demographics
NPI:1760034581
Name:MAREK, SHERIL DAWN (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SHERIL
Middle Name:DAWN
Last Name:MAREK
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3106
Mailing Address - Street 2:
Mailing Address - City:GALVESTON
Mailing Address - State:TX
Mailing Address - Zip Code:77552-0106
Mailing Address - Country:US
Mailing Address - Phone:409-741-8472
Mailing Address - Fax:409-741-2342
Practice Address - Street 1:4600 FAIRMONT PKWY STE 205
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:TX
Practice Address - Zip Code:77504-3337
Practice Address - Country:US
Practice Address - Phone:281-998-8600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1325592225100000X
TX3124534225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist