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Individual

ELISA TACCONELLI CARLINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
301 OCEAN VIEW BLVD, LEWES, DE 19958-1269
(302) 645-4664
Mailing address
17 W SARATOGA RD, MILFORD, DE 19963-2106

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000420
DE

Other

Enumeration date
02/14/2019
Last updated
02/14/2019
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