NPI | 1184601551 |
---|---|
Former Name | KAREN DIANE TUOZZOLO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: MD 22036) |
Additional Taxonomies | 225100000X Physical Therapist (Licence: CT 007248) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2012-09-18 |