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NPI Code Detail

MEDICARE: ELIZABETH VERNETTI

MEDICARE:   ELIZABETH  VERNETTI
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 Therapist8097CA

General Provider Information

NPI Number : 1447457304
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH VERNETTI
Provider Business Mailing Address
First Line : 415 W CARROLL AVE
Second Line :
City : GLENDORA
State : CA
Zip : 91741-4208
Country : US
Telephone Number : 626-335-7553
Fax Number : 626-335-7757
Provider Business Practice Location Address
First Line : 415 W CARROLL AVE
Second Line :
City : GLENDORA
State : CA
Zip : 91741-4208
Country : US
Telephone Number : 626-335-7553
Fax Number : 626-335-7757
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2007
Last Update Date : 07/08/2007

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Directions to “ ELIZABETH VERNETTI ” Practice Location

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