Provider Demographics
NPI:1922117373
Name:OREST, MARIANNE REGINA (PT)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:REGINA
Last Name:OREST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:MARIANNE
Other - Middle Name:REGINA
Other - Last Name:SALVATO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:192 WESTFORD RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:VT
Mailing Address - Zip Code:05468-3611
Mailing Address - Country:US
Mailing Address - Phone:802-893-1104
Mailing Address - Fax:
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:MEDICAL CENTER CAMPUS - SHEPARDSON 2 - ACUTE THERAPIES
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-2450
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0400002329225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist