Provider Demographics
NPI:1891000535
Name:DENZER, MARCELA NOEMI (PT)
Entity Type:Individual
Prefix:
First Name:MARCELA
Middle Name:NOEMI
Last Name:DENZER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MOHAWK RD
Mailing Address - Street 2:
Mailing Address - City:OSSINING
Mailing Address - State:NY
Mailing Address - Zip Code:10562-3808
Mailing Address - Country:US
Mailing Address - Phone:914-954-7158
Mailing Address - Fax:914-944-3418
Practice Address - Street 1:3 MOHAWK RD
Practice Address - Street 2:
Practice Address - City:OSSINING
Practice Address - State:NY
Practice Address - Zip Code:10562-3808
Practice Address - Country:US
Practice Address - Phone:914-954-7158
Practice Address - Fax:914-944-3485
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPT 009163-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist