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NPI Code Detail

MEDICARE: LISA NAOMI PALAZZO LPTA

MEDICARE: LISA NAOMI PALAZZO LPTA
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
1225200000XPhysical Therapy AssistantTE007319PA

General Provider Information

NPI Number : 1083831465
Entity Type Code : Individual
Provider Name (Legal Business Name) : LISA NAOMI PALAZZO LPTA
Provider Business Mailing Address
First Line : 4054 SAINT ANDREWS CT
Second Line : UNIT 1
City : CANFIELD
State : OH
Zip : 44406-9073
Country : US
Telephone Number : 330-533-9827
Fax Number :
Provider Business Practice Location Address
First Line : 3410 WILMINGTON RD
Second Line :
City : NEW CASTLE
State : PA
Zip : 16105-3210
Country : US
Telephone Number : 724-658-2801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2007
Last Update Date : 07/08/2007

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