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Individual

MR. JOSEPH A MUCCIO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
950 YOUNGSTOWN WARREN RD, SUITE C, NILES, OH 44446-4644
(330) 652-2403
(330) 652-2409
Mailing address
320 E MARKET ST, WARREN, OH 44481-1206
(330) 399-2221
(330) 394-0122

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT-1760
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0222253
OH
Enumeration date
10/18/2005
Last updated
12/20/2011
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