Healthcare Provider Details

I. General information

NPI: 1972997013
Provider Name (Legal Business Name): JOANNE FIGUEROA LPTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2015
Last Update Date: 03/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8410 ROOSEVELT BLVD
PHILADELPHIA PA
19152-2012
US

IV. Provider business mailing address

15200 BERNITA DR
PHILADELPHIA PA
19116-1415
US

V. Phone/Fax

Practice location:
  • Phone: 215-708-1200
  • Fax:
Mailing address:
  • Phone: 215-676-7756
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberTEI000948
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number40QB00248000
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: