Individual
ANNE RISALITI
Active
Individual
ANNE RISALITI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT006412L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001898345-0001
—
PA
01
—
1060647
WORKERS COMP
WV
01
—
1518572
GATEWAY HEALTH PLAN
PA
01
—
402323
HIGHMARK
PA
Enumeration date
01/02/2007
Last updated
07/09/2007
Update your record
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