Donna Tavalieri
Physical Therapist - Pediatrics
19505 E 8 Mile Rd
Saint Clair Shores
, Michigan 48080-1643
Donna Tavalieri
Physical Therapist - Pediatrics
19505 E 8 Mile Rd
Saint Clair Shores
, Michigan 48080-1643
(586) 445-8201
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Donna Tavalieri
- 23256 Robert John St
- Saint Clair Shores, MI
- Zip : 48080-2609
- Fax : (586) 445-8201
- Phone : (586) 445-8200
Second Address
- Donna Tavalieri
- 19505 E 8 Mile Rd
- Saint Clair Shores, MI
- Zip : 48080-1643
- Fax : (586) 445-8201
- Phone : (586) 445-8200
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251P0200X | Physical Therapist - Pediatrics | 5501003814 | MI |
National Provider Identifier
| NPI | 1043484165 |
|---|---|
| Provider Name | Donna Tavalieri |
| First Address | Saint Clair Shores, MI 48080-2609 |
| Second Address | Saint Clair Shores, MI 48080-1643 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/04/2008 |
| Last Update Date | 09/11/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5501003814 | STATE LICENSE NUMBER (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.