Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 1176278 | TX |
NPI | 1093295321 |
---|---|
Provider Name | Marianne Torio |
First Address | Frisco, TX 75035-9201 |
Second Address | Frisco, TX 75035-2972 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 16/08/2018 |
Last Update Date | 16/08/2018 |