Individual
MR. DOMENIC O ANTHONY CERRUTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
2869 HOLME AVE, PHILADELPHIA, PA 19152-2118
(215) 676-4070
(215) 676-4071
Mailing address
8123 MARTINDALE ST, PHILADELPHIA, PA 19136-1820
(215) 676-4070
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE1001931
PA
Other
Enumeration date
02/24/2009
Last updated
02/24/2009
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