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NPI Code Detail

MEDICARE: MISS ELLEN TORTOLANO P.T.

MEDICARE:  MISS ELLEN  TORTOLANO  P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist3869MA

General Provider Information

NPI Number : 1376776518
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ELLEN TORTOLANO P.T.
Provider Business Mailing Address
First Line : 7540 19TH AVENUE
Second Line : #200
City : PHOENIX
State : AZ
Zip : 85201-7967
Country : US
Telephone Number : 888-873-4221
Fax Number : 888-543-2289
Provider Business Practice Location Address
First Line : 92 FRANKLIN STREET
Second Line :
City : MELROSE
State : MA
Zip : 02176-4664
Country : US
Telephone Number : 888-873-4221
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2009
Last Update Date : 09/03/2009

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Directions to “ MISS ELLEN TORTOLANO P.T.” Practice Location

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