Marco I Mirnics, DPT
Physical Therapist in Fort Johnson, LA. Individual provider (NPI-1).
NPI number1033893284
StatusActive
Last updated in NPPESDec 3, 2024
Details
- NPI
- 1033893284
- Entity type
- Individual (NPI-1)
- Name
- Marco I Mirnics
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 9, 2023
- Certification date
- Dec 3, 2024
- Last updated
- Dec 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 2305215674 | VA | Yes |
Practice location
1585 3rd StFort Johnson, LA 71459-5102
Phone 615-609-1424
Mailing address
1585 3rd StFort Johnson, LA 71459-5102
Phone 615-609-1424
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Other Physical Therapist providers in Fort Johnson, LA
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- Caleb O Johnson, DPTNPI 1073947388
- Shelby Landrum, PTNPI 1669184487
- Kacey Yip, DPTNPI 1104739408
All 6 Physical Therapist providers in Fort Johnson · All 48 providers in Fort Johnson
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