Joseph David Lippoli PTA

NPI 1043512536 - Physical Therapy Assistant - 225200000X

NPI Details
NPI 1043512536
Gender Male
Enumeration Date 12/03/2010
Last Updated 12/03/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
345 POCAHONTAS TRAIL
ROUTE 92
WHITE SULPHUR SPRINGS WV, 24986, US
Phone (304) 536-4661
Fax
Business Location
123 PARLIAMENT RD
SHADY SPRING WV, 25918-8432, US
Phone (304) 639-4399
Fax
Toxanomy
Taxonomy Code 225200000X
License State West Virginia
License Number 001586
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According to our database, Mr. Joseph David Lippoli PTA NPI is 1043512536, taxonomy code is 225200000X and license number is 001586, license state is located at West Virginia. Joseph David Lippoli PTA physically located at 345 Pocahontas Trail, White Sulphur Springs WV, 24986. NPI Number Joseph David Lippoli PTA has the Individual type.

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1043512536 NPI number is provided on an as is basis without warranty of any kind. 1043512536 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph David Lippoli PTA are for informational purposes only.