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Individual

ANTHONY URILLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MPT

Contact information

Practice address
1109 W 15TH STREET, HAZELTON, PA 18201
(570) 453-0252
(570) 455-5331
Mailing address
1109 W 15TH STREET, HAZELTON, PA 18201
(570) 453-0252
(570) 455-5331

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008550L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
817795
1ST PRIORITY
Enumeration date
08/09/2006
Last updated
07/08/2007
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