Healthcare Provider Details

I. General information

NPI: 1972610228
Provider Name (Legal Business Name): FRANCIS DANIEL POKRIFKA ATC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 E WYLIE AVE
WASHINGTON PA
15301-2002
US

IV. Provider business mailing address

50 E WYLIE AVE
WASHINGTON PA
15301-2002
US

V. Phone/Fax

Practice location:
  • Phone: 724-229-7901
  • Fax: 724-229-7903
Mailing address:
  • Phone: 724-229-7901
  • Fax: 724-229-7903

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License NumberRT003792
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: