Individual
DR. DAVID BRIAN CRISCOLA
Active
Individual
DR. DAVID BRIAN CRISCOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
004308
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000238482
BCBS
KY
01
—
1861419319
RAIL ROAD MEDICARE
KY
01
—
50000935
PASSPORT HEALTH
KY
05
—
8700086500
—
KY
Enumeration date
07/17/2006
Last updated
12/28/2010
Update your record
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