Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | DC007870L | PA |
NPI | 1104047729 |
---|---|
Provider Name | Dr. Tinamarie Ann Alaimo |
First Address | Lehighton, PA 18235-1351 |
Second Address | Lehighton, PA 18235-1351 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 01/05/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U84163 | (02) | PA |