Healthcare Provider Details

I. General information

NPI: 1184357071
Provider Name (Legal Business Name): JULIE ALLEGRUCCI DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2022
Last Update Date: 07/07/2022
Certification Date: 07/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3 W OLIVE ST
SCRANTON PA
18508-2572
US

IV. Provider business mailing address

87 TAYLOR ST
SCOTT TOWNSHIP PA
18447-7511
US

V. Phone/Fax

Practice location:
  • Phone: 570-209-7604
  • Fax: 570-207-5985
Mailing address:
  • Phone: 570-877-4734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT024861
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: