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Ms. Rita L Defazio, PT
Specialist in Winston Salem, North Carolina
NPI 1174743058

Rita L Defazio is a Specialist based in Winstonsalem, NC. Rita L Defazio practices in Winston Salem, NC and has the professional credentials of PT. The NPI Number for Rita L Defazio is 1174743058 and holds a License No. 11341 (North Carolina).

The current practice location address for Rita L Defazio is 380H Knollwood St # 133, Winston Salem, NC and can be reached out via phone at 336-692-6820. You can also correspond with Rita L Defazio through the mailing address at 380H KNOLLWOOD ST #133, WINSTONSALEM, NC - 27103 (mailing address contact number: 336-692-6820).

Location: 380H Knollwood St # 133, Winston Salem, NC, 27103
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174743058
Provider Name
Rita L Defazio
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
380H Knollwood St # 133, Winston Salem, NC, 27103
Phone Number
336-692-6820
Fax Number
Provider Enumeration Date
04/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1174743058 05 CA
1174743058 05 TX
1174743058 05 NC
institution
Provider Business Practice Location Address Details
Address
380H Knollwood St # 133
City
Winston Salem
State
North Carolina
Zip
27103-1815
Phone Number
336-692-6820
Fax Number
person
Provider Business Mailing Address Details
Address
380H Knollwood St # 133
City
Winston Salem
State
North Carolina
Zip
27103-1815
Phone Number
336-692-6820
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
11341 (North Carolina)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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