Doctor Name: | KRISTEN GAZZILLO |
NPI Number: | 1437540572 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,DPT |
License Number: | PT024269 |
Business Practice Address: | 495 E Waterfront Dr Suite 240 Homestead, PA - 151201140 |
Business Phone Number: | 4123252110 |
Business Fax Number: | 4123252113 |
Mailing Address: | 495 E Waterfront Dr, Suite 240 HOMESTEAD |
State: | PA |
Postal Code: | 151201140 |
Phone Number: | 4123252110 |
Fax Number: | |
NPI Enumeration Date: | 02/11/2015 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT024269 |
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 |