Most Relevant Information
Provider Data
NPI Number: | 1003543927 |
Provider Name: | MARCIE DENE GIACALONE |
Entity Type: | Individual |
Taxonomy Code: | 225200000X |
Specialty: | Physical Therapy Assistant |
License Number: | 5502000648 |
Most Important Dates
Enumeration Date: | 08/02/2022 |
Last Updated: | 08/02/2022 |
Provider Practice Location
303 N HURSTBOURNE PKWY STE 200
LOUISVILLE
KY
402225158
Practice Location Phone/Fax
Phone: | 5024125847 |
Fax: |
Provider Mailing Location
483 N ELMS RD
FLUSHING
MI
484331423
Provider Mailing Phone/Fax
Phone: | 8104449687 |
Fax: |