Doctor Name: | MICHAEL ANTHONY LARICCIA |
NPI Number: | 1215031893 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT000694 |
Business Practice Address: | 10081 Ridge Rd Girard, PA - 16417 |
Business Phone Number: | 8147742630 |
Business Fax Number: | 8147742719 |
Mailing Address: | 3010 West Lake Rd, ERIE |
State: | PA |
Postal Code: | 165053849 |
Phone Number: | 8148332022 |
Fax Number: | 8148381223 |
NPI Enumeration Date: | 09/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT000694 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
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 |