| Doctor Name: | MR. ANTHONY CRAIG PERCOCO |
| NPI Number: | 1801960562 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS PT |
| License Number: | 0244071 |
| Business Practice Address: | 1180 Beacon St Suite 6-c Brookline, MA - 024463885 |
| Business Phone Number: | 6177305337 |
| Business Fax Number: | 6177305461 |
| Mailing Address: | Po Box 104, CROSS RIVER |
| State: | NY |
| Postal Code: | 10518 |
| Phone Number: | 9147635941 |
| Fax Number: | 9147635332 |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 08/03/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0244071 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| 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 |