Individual provider · Type 1 NPI
Marissa Borromeo, PT
Specialist · Tyler, TX
NPI number
1457587248
Active
Practice location
4914 Inverness Dr
Tyler, TX 75703-2604
Fax (903) 534-5653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist Primary | 174400000X | 1059202 (TX) |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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About NPI 1457587248
Marissa Borromeo, PT's National Provider Identifier is 1457587248, issued on Jun 7, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Tyler, TX. The record was last updated on Jun 7, 2009.