Most Relevant Information
Provider Data
| NPI Number: | 1003455759 |
| Provider Name: | BROOKE MERINO DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 296457 |
Most Important Dates
| Enumeration Date: | 12/29/2019 |
| Last Updated: | 12/30/2021 |
Provider Practice Location
501 VIA CASITAS
GREENBRAE
CA
949041901
Practice Location Phone/Fax
| Phone: | 4155461230 |
| Fax: |
Provider Mailing Location
17 UPPER OAK DR
SAN RAFAEL
CA
949031731
Provider Mailing Phone/Fax
| Phone: | 4157931088 |
| Fax: |