Provider Demographics
NPI:1104456326
Name:ALMARIO, MARIAN DANIELLE B (PT)
Entity type:Individual
Prefix:
First Name:MARIAN DANIELLE
Middle Name:B
Last Name:ALMARIO
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 1:2643 W GEORGE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-7844
Mailing Address - Country:US
Mailing Address - Phone:224-209-4443
Mailing Address - Fax:
Practice Address - Street 1:2643 W GEORGE ST APT 2
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60618-7844
Practice Address - Country:US
Practice Address - Phone:224-209-4443
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-16
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070022009225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist