Individual
DAVID RISALITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
3053 NEW GERMANY RD, EBENSBURG, PA 15931-3516
(800) 332-5740
Mailing address
3053 NEW GERMANY RD, EBENSBURG, PA 15931-3516
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006112L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001762472-0001
—
PA
01
—
1060544
WORKERS' COMP
WV
01
—
1511906
GATEWAY HEALTH PLAN
PA
01
—
444641
HIGHMARK
PA
Enumeration date
11/16/2006
Last updated
07/09/2007
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