Provider Demographics
NPI:1336387562
Name:HINER, MARLA MARIE (PT)
Entity Type:Individual
Prefix:MS
First Name:MARLA
Middle Name:MARIE
Last Name:HINER
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 1:1183 COLLAR PRICE RD
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425-2912
Mailing Address - Country:US
Mailing Address - Phone:330-534-1476
Mailing Address - Fax:
Practice Address - Street 1:1183 COLLAR PRICE RD
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-2912
Practice Address - Country:US
Practice Address - Phone:330-534-1476
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-012037-L2251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics