| NPI | 1760739387 |
|---|---|
| Former Name | CAROLYN MARIE TOMASELLO |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: MA PT88560) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: RI PT02400) |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2025-05-20 |