Individual
MS. CARLA ASSUNTA VARISANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
835 PEQUASH AVE, CUTCHOGUE, NY 11935-1426
(631) 734-7128
Mailing address
835 PEQUASH AVE, CUTCHOGUE, NY 11935-1426
(631) 734-7128
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004512-1
NY
Other
Enumeration date
01/21/2009
Last updated
01/21/2009
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