Individual
MARIO ANTHONY DIPLACIDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
607 E 26TH ST, ERIE, PA 16504-2813
(814) 451-1334
Mailing address
607 E 26TH ST, ERIE, PA 16504-2813
(814) 451-1334
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008775
PA
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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