Provider Demographics
NPI:1851547723
Name:ORELLANA, MARYANN (CMT)
Entity Type:Individual
Prefix:
First Name:MARYANN
Middle Name:
Last Name:ORELLANA
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1808 OAK PARK BLVD APT 14
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-4482
Mailing Address - Country:US
Mailing Address - Phone:925-935-9387
Mailing Address - Fax:
Practice Address - Street 1:395 CIVIC DR STE C
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-1948
Practice Address - Country:US
Practice Address - Phone:925-917-9067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist