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Individual
MS. LISA MARIE PALAZZOLO
Active
Individual
MS. LISA MARIE PALAZZOLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
Primary
070-014318
IL
2255A2300X
Athletic Trainer
096-002104
IL
Other
Enumeration date
03/14/2006
Last updated
12/10/2012
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