Carissa Tavarone, MPS,PT

NPI #1982930822 in North Syracuse, New York

Provider Information

NPI Number: 1982930822
Entity Type: Individual
Name: Carissa Tavarone, MPS,PT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: MPS,PT
Enumeration Date: Oct 28, 2009
Last Updated: Nov 17, 2009

Practice Location

Address: 401 N MAIN ST
City: North Syracuse
State: New York
ZIP Code: 13212-1735
Phone: (315) 452-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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