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Individual
DR. TAMARA NANCY GRAVANO
Active
Individual
DR. TAMARA NANCY GRAVANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, GCS, CEEAA
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 20800
FL
2251G0304X
Geriatric Physical Therapist
07435R
LA
2251G0304X
Geriatric Physical Therapist
Primary
PT 002939
WV
Other
Enumeration date
04/06/2007
Last updated
05/05/2014
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