Doctor Name: | MICHAEL J PICCIRILLO |
NPI Number: | 1346206943 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MSPT |
License Number: | 5084 |
Business Practice Address: | 6565 E Greenway Parkway Suite 100a Scottsdale, AZ - 85254 |
Business Phone Number: | 8663013347 |
Business Fax Number: | 4804831752 |
Mailing Address: | Po Box 3497, STURTEVANT |
State: | WI |
Postal Code: | 531770300 |
Phone Number: | 8775522996 |
Fax Number: | 8662458064 |
NPI Enumeration Date: | 04/22/2006 |
NPI Last Update Date: | 09/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 5084 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
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 |