Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT-012037-L | PA |
NPI | 1336387562 |
---|---|
Provider Name | Ms. Marla Marie Hiner |
First Address | Hubbard, OH 44425-2912 |
Second Address | Hubbard, OH 44425-2912 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2009 |
Last Update Date | 26/01/2009 |