Doctor Name: | KRISTINE CARMELA PEREZ LOSARITO |
NPI Number: | 1952668345 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 24004 |
Business Practice Address: | 5550 Tuckerman Lane North Bethesda, MD - 20852 |
Business Phone Number: | 8663798263 |
Business Fax Number: | |
Mailing Address: | 5550 Tuckerman Lane, NORTH BETHESDA |
State: | MD |
Postal Code: | 20852 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 04/23/2012 |
NPI Last Update Date: | 04/23/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | 24004 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |