Healthcare Provider Details

I. General information

NPI: 1265763577
Provider Name (Legal Business Name): NANCY F. GIOIELLI PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 09/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17448 HIGHWAY 3 SUITE 130
WEBSTER TX
77598-4197
US

IV. Provider business mailing address

17448 HIGHWAY 3 SUITE 130
WEBSTER TX
77598-4141
US

V. Phone/Fax

Practice location:
  • Phone: 281-316-7160
  • Fax: 281-316-7165
Mailing address:
  • Phone: 281-316-7160
  • Fax: 281-316-7165

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2010211
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: