Provider Demographics
NPI:1215238134
Name:JERMAN-LELITO, MARIANA (PT)
Entity type:Individual
Prefix:MRS
First Name:MARIANA
Middle Name:
Last Name:JERMAN-LELITO
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 1:93 MILTON FALLS CT
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:VT
Mailing Address - Zip Code:05468-3932
Mailing Address - Country:US
Mailing Address - Phone:802-893-8616
Mailing Address - Fax:
Practice Address - Street 1:93 MILTON FALLS CT
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:VT
Practice Address - Zip Code:05468-3932
Practice Address - Country:US
Practice Address - Phone:802-893-8616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-09
Last Update Date:2010-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT040-0003660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist