Provider Demographics
NPI:1891016820
Name:FREITAS, MARLANA W (LMT)
Entity Type:Individual
Prefix:MRS
First Name:MARLANA
Middle Name:W
Last Name:FREITAS
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
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Mailing Address - Street 1:215 BENMONT AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-1935
Mailing Address - Country:US
Mailing Address - Phone:180-237-9463
Mailing Address - Fax:180-244-5307
Practice Address - Street 1:160 BENMONT AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-1873
Practice Address - Country:US
Practice Address - Phone:180-237-9463
Practice Address - Fax:180-244-5307
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-14
Last Update Date:2014-03-28
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist