Provider Demographics
NPI:1669801759
Name:BEERLI CABELL, MARLIES (CPO)
Entity type:Individual
Prefix:
First Name:MARLIES
Middle Name:
Last Name:BEERLI CABELL
Suffix:
Gender:F
Credentials:CPO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 BARKSDALE RD
Mailing Address - Street 2:
Mailing Address - City:JOPPA
Mailing Address - State:MD
Mailing Address - Zip Code:21085-4046
Mailing Address - Country:US
Mailing Address - Phone:410-989-3455
Mailing Address - Fax:
Practice Address - Street 1:960 S GEORGE ST
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-3708
Practice Address - Country:US
Practice Address - Phone:717-851-0156
Practice Address - Fax:717-851-0157
Is Sole Proprietor?:Yes
Enumeration Date:2013-11-08
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224P00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersProsthetist