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Individual
TINA GIANNETTA
Active
Individual
TINA GIANNETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-018183
PA
225100000X
Physical Therapist
PT018183
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001877184
BLUE SHIELD
—
01
—
1877184
BLUE SHIELD
PA
01
—
2770965000
INDEPENDENCE BLUE SHIELD
PA
01
—
50063358
CAPITAL BLUE CROSS
PA
01
—
823040
FIRST PRIORITY HEALTH
PA
Enumeration date
07/27/2006
Last updated
12/30/2015
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