Individual
MARIA CRISTINA CO GERONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
303 N HURSTBOURNE PKWY, SUITE 200, LOUISVILLE, KY 40222-5185
(502) 412-5847
Mailing address
410 MAGNOLIA DR, CROWN POINT, IN 46307-8438
(219) 256-2243
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
007979
NY
225200000X
Physical Therapy Assistant
Primary
06004518A
IN
Other
Enumeration date
10/05/2012
Last updated
12/04/2012
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