Doctor Name: | LARRY CINICOLA |
NPI Number: | 1215323845 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | |
Business Practice Address: | 3215 N 5th Street Hwy Unit #4 Reading, PA - 196052450 |
Business Phone Number: | 4845094235 |
Business Fax Number: | 4847092754 |
Mailing Address: | 119 Professional Building, 1265 Wayne Avenue, Suite 308 INDIANA |
State: | PA |
Postal Code: | 157013501 |
Phone Number: | 7248018095 |
Fax Number: | 7248018147 |
NPI Enumeration Date: | 04/10/2015 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
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 |