Doctor Name: | PATRICIA A TARUSKI |
NPI Number: | 1346557485 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | PT 2129 |
Business Practice Address: | 244 Barrataria Dr Saint Augustine, FL - 320808511 |
Business Phone Number: | 9044712406 |
Business Fax Number: | |
Mailing Address: | 244 Barrataria Dr, SAINT AUGUSTINE |
State: | FL |
Postal Code: | 320808511 |
Phone Number: | 9044712406 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2010 |
NPI Last Update Date: | 07/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT 2129 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |