Provider Demographics
NPI:1871842765
Name:GERIANE, MARIA B (PT)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:B
Last Name:GERIANE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:1325 N HIGHLAND AVE
Mailing Address - Street 2:PROVENA MERCY MEDICAL CENTER
Mailing Address - City:AURORA
Mailing Address - State:IL
Mailing Address - Zip Code:60506
Mailing Address - Country:US
Mailing Address - Phone:630-907-0263
Mailing Address - Fax:630-907-1354
Practice Address - Street 1:1325 N HIGHLAND AVE
Practice Address - Street 2:PROVENA MERCY MEDICAL CENTER
Practice Address - City:AURORA
Practice Address - State:IL
Practice Address - Zip Code:60506
Practice Address - Country:US
Practice Address - Phone:630-907-0263
Practice Address - Fax:630-907-1354
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2012-09-06
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL070-006735225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist