Individual
MRS. VIOLETTA TERESA TAVOULAREAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
9306 4TH AVE, BROOKLYN, NY 11209-7005
(718) 238-7451
Mailing address
163 77TH ST, BROOKLYN, NY 11209-2903
(718) 836-4125
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
011953-1
NY
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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