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NPI Code Detail

MEDICARE: DANIEL V CORSO PT

MEDICARE: DANIEL V CORSO PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistDAPT000936PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111260723OTHERCAQH
2256673OTHERHEALTH AMERICA HEALTH ASS
37002323OTHERAETNA
4162724OTHERPAHIGHMARK BCBS

General Provider Information

NPI Number : 1467443077
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL V CORSO PT
Provider Business Mailing Address
First Line : 1615B N MAIN STREET EXT
Second Line :
City : BUTLER
State : PA
Zip : 16001-1512
Country : US
Telephone Number : 724-285-5546
Fax Number : 724-285-3883
Provider Business Practice Location Address
First Line : 1615B N MAIN STREET EXT
Second Line :
City : BUTLER
State : PA
Zip : 16001-1512
Country : US
Telephone Number : 724-285-5546
Fax Number : 724-285-3883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/02/2005
Last Update Date : 07/08/2007

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Directions to “ DANIEL V CORSO PT” Practice Location

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