Individual provider · Type 1 NPI
Rita L. Defazio, PT
Specialist · Winston Salem, NC
NPI number
1174743058
Active
Practice location
380H Knollwood St # 133
Winston Salem, NC 27103-1815
Mailing address
380H Knollwood St #133
Winstonsalem, NC 27103
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Specialist | 174400000X | 11341 (NC) |
| Specialist Primary | 174400000X | PT35845 (CA) |
| Specialist | 174400000X | None listed |
Specialist: 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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About NPI 1174743058
Rita L. Defazio, PT's National Provider Identifier is 1174743058, issued on Apr 26, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Winston Salem, NC. The record was last updated on Mar 11, 2011.