Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant |
NPI | 1003208927 |
---|---|
Provider Name | Ms. Rachel Marozzi |
First Address | North Charleston, SC 29406-7110 |
Second Address | North Charleston, SC 29406-7110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/03/2015 |
Last Update Date | 23/10/2018 |