Individual
LISA ANN TOMASELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T
Contact information
Practice address
1130 BEACHVIEW ST, SUITE #120, DALLAS, TX 75218-3700
(214) 324-5851
(214) 324-5728
Mailing address
1130 BEACHVIEW ST, SUITE #120, DALLAS, TX 75218-3700
(214) 324-5851
(214) 324-5728
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1106383
TX
Other
Enumeration date
04/04/2007
Last updated
08/07/2013
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