Individual
MR. GREGORY MARIO POLICICCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
1607 LOWRIE ST, PITTSBURGH, PA 15212-4362
(412) 321-9088
(412) 321-9445
Mailing address
1607 LOWRIE ST, PITTSBURGH, PA 15212-4362
(412) 321-9088
(412) 321-9445
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT003688L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01929209
—
PA
Enumeration date
06/21/2006
Last updated
07/08/2007
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