| NPI | 1689010456 |
|---|---|
| Other Name | TERESA ANN TIANNUCCI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: GA PT012309) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 24290) |
| Enumeration Date | 2013-05-20 |
| Last Update Date | 2016-07-01 |