Ma Lourdes Maderazo Tadlip Valid NPI
Individual provider · Geriatric Physical Therapist · Raleigh, NC
- NPI
- 1154947661
- Type
- Individual (Type 1)
- Primary specialty
- Geriatric Physical Therapist (Physical Therapist)
- Specialty group
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy code
- 2251G0304X
- License number
- 11455 (NC)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2020-06-20
- Last updated
- 2020-06-20
Practice location
616 Wade Ave
Raleigh, NC 27605-1237
(919) 828-6251