Individual
MR. CRAIG S VECCHIARELLI
Active
Individual
MR. CRAIG S VECCHIARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT21073
FL
2251S0007X
Sports Physical Therapist
PT21073
FL
2251X0800X
Orthopedic Physical Therapist
PT21073
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104863800
—
FL
01
—
L0703
MEDICARE
FL
01
—
Y911W
BLUE CROSS BLUE SHIELD
FL
Enumeration date
05/10/2007
Last updated
03/11/2020
Update your record
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