Provider Demographics
NPI:1063598530
Name:DEMARZIANI, JENNY MARIA (PT)
Entity type:Individual
Prefix:MRS
First Name:JENNY
Middle Name:MARIA
Last Name:DEMARZIANI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:DEMARZIANI-LARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:819 ANASTASIA AVE
Mailing Address - Street 2:
Mailing Address - City:CORAL GABLES
Mailing Address - State:FL
Mailing Address - Zip Code:33134-6407
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7400 SW 88TH ST
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33156-7700
Practice Address - Country:US
Practice Address - Phone:786-723-3604
Practice Address - Fax:786-388-8417
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-27
Last Update Date:2024-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 22795225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist