MRS. Renee Grinnell Capozzola, MPT

NPI #1033413463 in Carson, California

Provider Information

NPI Number: 1033413463
Entity Type: Individual
Name: MRS. Renee Grinnell Capozzola, MPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Dec 28, 2010
Last Updated: Dec 28, 2010

Practice Location

Address: 1 CIVIC PLAZA DR
Address 2: SUITE # 625
City: Carson
State: California
ZIP Code: 90745-2243
Phone: (310) 549-4500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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