Doctor Name: | ANTONIA PITALO |
NPI Number: | 1073546115 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | 5177 |
Business Practice Address: | 209 Patewood Dr Suite 100 Greenville, SC - 296153581 |
Business Phone Number: | 8642720124 |
Business Fax Number: | 8642720129 |
Mailing Address: | 1361 W Wade Hampton Blvd Ste F, Pmb 207 GREER |
State: | SC |
Postal Code: | 296501146 |
Phone Number: | 8648018706 |
Fax Number: | 8648487203 |
NPI Enumeration Date: | 07/09/2006 |
NPI Last Update Date: | 06/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5177 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | SC |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |