Individual
MRS. GINA TIERI PEZZETTI CARLSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
545 OLD TURNPIKE RD, RUTLAND, VT 05701-7427
(617) 724-0125
Mailing address
545 OLD TURNPIKE RD, MENDON, VT 05701-7427
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13169
MA
Other
Enumeration date
10/23/2009
Last updated
03/30/2015
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