Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 226300000X | Kinesiotherapist | 1232 | NY |
NPI | 1699725523 |
---|---|
Provider Name | Ms. Theresa Louise Cioppa |
First Address | Troy, NY 12180-7406 |
Second Address | Albany, NY 12208-3410 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/05/2006 |
Last Update Date | 08/07/2007 |