MS. Rita L Defazio, PT

NPI #1174743058 in Winston Salem, North Carolina

Provider Information

NPI Number: 1174743058
Entity Type: Individual
Name: MS. Rita L Defazio, PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Credential: PT
Enumeration Date: Apr 26, 2007
Last Updated: Mar 11, 2011

Practice Location

Address: 380H KNOLLWOOD ST # 133
City: Winston Salem
State: North Carolina
ZIP Code: 27103-1815
Phone: (336) 692-6820

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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