Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | A19045 | FL |
NPI | 1063551711 |
---|---|
Provider Name | Dr. Terri A Graffeo |
First Address | Lutz, FL 33558-2844 |
Second Address | Palm Harbor, FL 34684-3670 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 08/07/2007 |