Healthcare Provider Details

I. General information

NPI: 1306385265
Provider Name (Legal Business Name): FRANK JOSEPH SANTARSIERO DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/13/2017
Last Update Date: 04/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

354 MAIN ST
FOREST CITY PA
18421-1418
US

IV. Provider business mailing address

1710 ROOSEVELT AVE
DUNMORE PA
18512-2229
US

V. Phone/Fax

Practice location:
  • Phone: 570-785-2018
  • Fax: 570-785-3575
Mailing address:
  • Phone: 570-702-9877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT025821
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: