Jean Tani Momorella PT

NPI 1396855110 - Physical Therapist - 225100000X

NPI Details
NPI 1396855110
Gender Female
Enumeration Date 08/30/2006
Last Updated 05/08/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
5690 THREE NOTCHED RD
SUITE 107
CROZET VA, 22932-3172, US
Phone (434) 823-7628
Fax
Business Location
5690 THREE NOTCHED RD
SUITE 107
CROZET VA, 22932-3172, US
Phone (434) 823-7628
Fax
Toxanomy
Taxonomy Code 225100000X
License State Virginia
License Number 2305203718
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According to our database, Mrs. Jean Tani Momorella PT NPI is 1396855110, taxonomy code is 225100000X and license number is 2305203718, license state is located at Virginia. Jean Tani Momorella PT physically located at 5690 Three Notched Rd, Crozet VA, 22932-3172. NPI Number Jean Tani Momorella PT has the Individual type.

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1396855110 NPI number is provided on an as is basis without warranty of any kind. 1396855110 is maintained by the National Plan & Provider Enumeration System. The contents of Jean Tani Momorella PT are for informational purposes only.