Provider Demographics
NPI:1982477428
Name:MARRERO, NORMA EMILY (PT)
Entity Type:Individual
Prefix:
First Name:NORMA
Middle Name:EMILY
Last Name:MARRERO
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 1:718 MONMOUTH WAY
Mailing Address - Street 2:
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-4529
Mailing Address - Country:US
Mailing Address - Phone:407-719-7719
Mailing Address - Fax:
Practice Address - Street 1:718 MONMOUTH WAY
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-4529
Practice Address - Country:US
Practice Address - Phone:407-719-7719
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT7422225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist