Individual
STEVEN A MIGNACCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01117
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0015873
MEDICARE PTAN
RI
01
—
PT01117
STATE LICENSE NUMBER
RI
Enumeration date
02/08/2007
Last updated
12/14/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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