Individual
DAVID RISALITI
Active
Individual
DAVID RISALITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
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
Update your record
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