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1992369953
MACI MORTILLARO
STAFFORD, TX
NPI
1992369953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: LA 1317054)
Enumeration Date
2019-04-25
Last Update Date
2019-04-25
Business Address
MACI MORTILLARO PT
12371 S KIRKWOOD RD
STAFFORD, TX 77477-2836
Phone number: 713-995-9292
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Mailing Address
MACI MORTILLARO PT
4401 CRAIG AVE
METAIRIE, LA 70003-7602
Phone number: 504-256-6049
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