Individual
JOSEPH DELVISCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
443 E FLORA ST, PHILADELPHIA, PA 19125-3315
(401) 378-6690
Mailing address
443 E FLORA ST, PHILADELPHIA, PA 19125-3315
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010645
PA
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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