| NPI | 1174756530 |
|---|---|
| Other Name | TINA LOUISE AZZANO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA PT013836L) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 021715-1) |
| 225100000X Physical Therapist (Licence: CA 33722) | |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |