BROOKE MERINO DPT

501 VIA CASITAS, GREENBRAE, CA, 949041901

atlas:atm_npi_1003455759

Block 1000Block Group 1Census Tract 1192.01Marin County California United States

What is stored

status: A
address: 501 VIA CASITAS, GREENBRAE, CA, 949041901
npi: 1003455759
license: 296457
taxonomy: Physical Therapist
other names: []
last updated: 2021-12-30
license state: CA
taxonomy code: 225100000X
all taxonomies: ["Physical Therapist"]
sole proprietor: NO
enumeration date: 2019-12-29
enumeration type: NPI-1
practice locations: 0

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{
  "npi": "1003455759",
  "status": "A",
  "address": "501 VIA CASITAS, GREENBRAE, CA, 949041901",
  "license": "296457",
  "taxonomy": "Physical Therapist",
  "other_names": [],
  "last_updated": "2021-12-30",
  "license_state": "CA",
  "taxonomy_code": "225100000X",
  "all_taxonomies": [
    "Physical Therapist"
  ],
  "sole_proprietor": "NO",
  "enumeration_date": "2019-12-29",
  "enumeration_type": "NPI-1",
  "practice_locations": 0
}