Kelli Jo Brizzolara in Dallas - Orthopedic
Kelli Jo Brizzolara - NPI 1609098011
Kelli Jo Brizzolara is a Orthopedic in Dallas, Texas. Kelli Jo Brizzolara practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Kelli Jo Brizzolara is 1609098011. The last update date is 2008-05-29.
Kelli Jo Brizzolara's current location address is Po Box 670769, Dallas, Texas. You can contact this provider via phone number 2142390990 and fax number 2142390991. The mailing address for Kelli Jo Brizzolara is Po Box 670769, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kelli Jo Brizzolara |
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Address | Po Box 670769, Dallas, Texas |
Phone Number | 2142390990 |
Fax Number | 2142390991 |
Sole Proprietor | N |
Credentials | PT, OCS |
NPI Number Detail
NPI Number | 1609098011 |
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Provider Enumeration Date | 2007-05-03 |
Last Updated Date | 2008-05-29 |
Provider Mailing Address Detail
Address | Po Box 670769 |
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City | Dallas |
State | Texas (TX) |
Post Code | 753670769 |
Phone Number | 2142390990 |
Fax Number | 2142390991 |
Provider's Primary Taxonomy Detail
Speciality | Orthopedic |
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Taxonomy | 2251X0800X |
Licence No | 1153751 |
Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
8T7997 | TX | BLUE CROSS BLUE SHIELD OF TEXA |
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What is the unique 10-digit identifier code issued to Kelli Jo Brizzolara by the Centers for Medicare & Medicaid Services?
The Kelli Jo Brizzolara has been assigned the NPI (National Provider Identifier) 1609098011 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kelli Jo Brizzolara is physically located?
The Kelli Jo Brizzolara is physically situated at the following address: Po Box 670769, Dallas, TX, 753670769.
What is Kelli Jo Brizzolara's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kelli Jo Brizzolara is Orthopedic, and the corresponding taxonomy classification code for this specialized field is 2251X0800X.
When did Kelli Jo Brizzolara receive its 1609098011 assignment?
The Kelli Jo Brizzolara was assigned its 1609098011 on 2007-05-03, which is the date when this unique identifier was issued to the organization.
When was the information regarding Kelli Jo Brizzolara most recently updated?
The details pertaining to the Kelli Jo Brizzolara, including its address, specialty, and other relevant information, were last refreshed on 2008-05-29.
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