Healthcare Provider Details

I. General information

NPI: 1760550834
Provider Name (Legal Business Name): RALPH LAWRENCE GIORDANO KINESIOTHERAPIST
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1100 TUNNEL RD
ASHEVILLE NC
28805-2043
US

IV. Provider business mailing address

63 VINE ST
ASHEVILLE NC
28804-3045
US

V. Phone/Fax

Practice location:
  • Phone: 828-299-2553
  • Fax:
Mailing address:
  • Phone: 828-299-2553
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code226300000X
TaxonomyKinesiotherapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: