Provider Demographics
NPI:1811185952
Name:NEGRETE, MARIZA BIERA (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARIZA
Middle Name:BIERA
Last Name:NEGRETE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MARZA
Other - Middle Name:PEREZ
Other - Last Name:BIERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:433 SOSCOL AVE STE B191
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-4040
Mailing Address - Country:US
Mailing Address - Phone:707-224-3131
Mailing Address - Fax:
Practice Address - Street 1:433 SOSCOL AVE STE B191
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-4040
Practice Address - Country:US
Practice Address - Phone:707-224-3131
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-12
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CA33789225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist