Provider Demographics
NPI:1811224306
Name:MARCINKOWSKI, MARY ELIZABETH (PT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:ELIZABETH
Last Name:MARCINKOWSKI
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Gender:F
Credentials:PT
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Mailing Address - Street 1:1 GREENLEAF WOODS DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-5437
Mailing Address - Country:US
Mailing Address - Phone:603-319-8334
Mailing Address - Fax:603-431-2940
Practice Address - Street 1:1 GREENLEAF WOODS DR
Practice Address - Street 2:SUITE 101
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-5437
Practice Address - Country:US
Practice Address - Phone:603-319-8334
Practice Address - Fax:603-431-2940
Is Sole Proprietor?:No
Enumeration Date:2009-11-04
Last Update Date:2014-10-08
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Provider Licenses
StateLicense IDTaxonomies
NH0714225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic