Taylor Varisco, PT, DPT
Physical Therapist in New Orleans, LA. Individual provider (NPI-1).
NPI number1053923946
StatusActive
Last updated in NPPESAug 20, 2020
Details
- NPI
- 1053923946
- Entity type
- Individual (NPI-1)
- Name
- Taylor Varisco
- Credential
- PT, DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2020
- Certification date
- Aug 20, 2020
- Last updated
- Aug 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 10666 | LA | Yes |
Practice location
10001 Lake Forest Blvd Ste 102New Orleans, LA 70127-6204
Phone 504-281-4521
Mailing address
242 Hesper AveMetairie, LA 70005-3761
Phone 504-606-6436
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