MRS. Tina Vasconcellos

NPI #1326267477 in De Pere, Wisconsin

Provider Information

NPI Number: 1326267477
Entity Type: Individual
Name: MRS. Tina Vasconcellos
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Enumeration Date: Apr 25, 2007
Last Updated: Feb 13, 2009

Practice Location

Address: 417 SCOTCHWOOD RD
City: De Pere
State: Wisconsin
ZIP Code: 54115-2457
Phone: (920) 883-0661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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