Individual
DAMON ANTHONY FORMAINI
Active
Individual
DAMON ANTHONY FORMAINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010972L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
232918467
AETNA
PA
01
—
457005
HEALTH AMERICA-ASSURANCE
PA
01
—
FO1908605
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/29/2006
Last updated
01/15/2015
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