Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | P13426 | NC |
NPI | 1386184778 |
---|---|
Provider Name | Elissa Palmieri |
First Address | Charlotte, NC 28203-5321 |
Second Address | Matthews, NC 28105-2013 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/03/2017 |
Last Update Date | 03/03/2017 |