Doctor Name: | MS. TANYA MARIE PALLO |
NPI Number: | 1225243165 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 006673 |
Business Practice Address: | 444 Washington St Suite 506 Woburn, MA - 018011046 |
Business Phone Number: | 7819379777 |
Business Fax Number: | 7819379767 |
Mailing Address: | 525 Highland Ave, Apt. 45 MALDEN |
State: | MA |
Postal Code: | 021483662 |
Phone Number: | 7816355313 |
Fax Number: | |
NPI Enumeration Date: | 05/14/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 006673 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |