National Provider Identifier
Dennille Marie Marble, PTA
Dennille Marie Marble, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Batavia, NY and a listed phone number of (585) 343-1840.
Profile Overview
- NPI
- 1154628394
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- February 24, 2011
- Last Updated
- June 20, 2013
Practice Location
- 25 Liberty St Ste 5
- Batavia, NY 14020-3246
Phone: (585) 343-1840
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1154628394
- Entity Type
- Individual
- Last Name
- Marble
- First Name
- Dennille
- Middle Name
- Marie
- Name Prefix
- Mrs.
- Credential
- PTA
- Provider Other Last Name
- Laney
- Provider Other First Name
- Dennille
- Provider Other Middle Name
- Marie
- Provider Other Name Prefix Text
- Miss
- Provider Other Credential Text
- PTA
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 25 Liberty St Ste 5
- Mailing City
- Batavia
- Mailing State
- NY
- Mailing ZIP Code
- 14020-3246
- Mailing Country
- US
- Mailing Phone
- (585) 343-1840
- Practice Street Address
- 25 Liberty St Ste 5
- Practice City
- Batavia
- Practice State
- NY
- Practice ZIP Code
- 14020-3246
- Practice Country
- US
- Practice Phone
- (585) 343-1840
- Enumeration Date
- February 24, 2011
- Last Updated
- June 20, 2013
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)
- Other Identifiers
- 007610 (NY, Pta License Number)