Individual
CAROLYN TASSINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3900 CHURCH RD, MOUNT LAUREL, NJ 08054-1108
(856) 216-8090
Mailing address
3900 CHURCH RD, MOUNT LAUREL, NJ 08054-1108
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
40QA01117400
NJ
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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