National Provider Identifier
Mary Lou Carlucci, MPSPT
Mary Lou Carlucci, MPSPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 591-1591.
Profile Overview
- NPI
- 1356581250
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 05, 2009
- Last Updated
- July 21, 2022
Practice Location
- 122 W Court St
- Ithaca, NY 14850-4165
Phone: (607) 591-1591
Mailing Address
- 123 W King RD
- Ithaca, NY 14850-8631
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1356581250
- Entity Type
- Individual
- Last Name
- Carlucci
- First Name
- Mary Lou
- Credential
- MPSPT
- Mailing Street Address
- 123 W King RD
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-8631
- Mailing Country
- US
- Mailing Phone
- (607) 273-0724
- Practice Street Address
- 122 W Court St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-4165
- Practice Country
- US
- Practice Phone
- (607) 591-1591
- Practice Fax
- (607) 273-1738
- Enumeration Date
- March 05, 2009
- Last Updated
- July 21, 2022
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)