Doctor Name: | DR. SANDRO MICOCCI |
NPI Number: | 1811198302 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | PT021589 |
Business Practice Address: | 1927 Knight St Apt 8 Allentown, PA - 181043067 |
Business Phone Number: | 7818012572 |
Business Fax Number: | |
Mailing Address: | 1927 Knight St Apt 8, ALLENTOWN |
State: | PA |
Postal Code: | 181043067 |
Phone Number: | 7818012572 |
Fax Number: | |
NPI Enumeration Date: | 05/30/2007 |
NPI Last Update Date: | 03/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT021589 |
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 |