Individual
MICHAEL J PICCIRILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
6565 E GREENWAY PARKWAY, SUITE 100A, SCOTTSDALE, AZ 85254
(866) 301-3347
(480) 483-1752
Mailing address
PO BOX 3497, STURTEVANT, WI 53177-0300
(877) 552-2996
(866) 245-8064
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5084
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
488339
—
AZ
Enumeration date
04/22/2006
Last updated
09/08/2008
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