Healthcare Provider Details

I. General information

NPI: 1598828725
Provider Name (Legal Business Name): MICHAEL ANTHONY CALABRESE PT, ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 FREEPORT RD 200 BLDG., SUITE 4000
PITTSBURGH PA
15215-3301
US

IV. Provider business mailing address

28 LO BELL DR
WASHINGTON PA
15301-1370
US

V. Phone/Fax

Practice location:
  • Phone: 412-784-5010
  • Fax: 412-784-5147
Mailing address:
  • Phone: 724-228-5480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT006764L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: