# MRS. JANELL TARTAGLIA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1104109867
- **Gender:** F
- **Credential:** DPT, PCS

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 009194 | CT | Yes |

## Other

- **Enumeration date:** 09/20/2011
- **Last updated:** 10/17/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 076572 | GROUP MEDICARE ID | CT |