Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT872313 | DC |
NPI | 1376108514 |
---|---|
Provider Name | Dr. Anna Tessiatore |
First Address | Washington, DC 20010-2921 |
Second Address | Washington, DC 20010-2921 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2019 |
Last Update Date | 11/06/2019 |