Provider Demographics
NPI:1972369072
Name:MARRERO RODRIGUEZ, CAROLINA (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:CAROLINA
Middle Name:
Last Name:MARRERO RODRIGUEZ
Suffix:
Gender:
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:7567 GREENBELT RD
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3403
Practice Address - Country:US
Practice Address - Phone:301-479-1008
Practice Address - Fax:240-616-2305
Is Sole Proprietor?:No
Enumeration Date:2024-02-26
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29850225100000X
PAPT030277225100000X
MEPT7029225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist