Individual
AMANDA BETH COCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
8019 FRANKFORD AVE, PHILADELPHIA, PA 19136-2786
(215) 338-8900
(215) 338-8923
Mailing address
1377 MOTOR PKWY, STE 307, ISLANDIA, NY 11749-5258
(610) 580-5200
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT019897
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102373130-0001
—
PA
01
—
1528296282
BRAVO
PA
01
—
2123200
HIGHMARK PA BLUE SHIELD
PA
01
—
306177
UNISON
—
01
—
3744632000
IBC
PA
Enumeration date
07/01/2009
Last updated
08/10/2020
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