Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic |
NPI | 1003438292 |
---|---|
Provider Name | Letizia B Migliaccio |
First Address | Greensboro, NC 27410-2407 |
Second Address | Greensboro, NC 27410-2344 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2020 |
Last Update Date | 11/05/2020 |