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NPI Code Detail

MEDICARE: MR. JOEL JAMES DIGRIS M.S.P.T

MEDICARE:  MR. JOEL JAMES DIGRIS  M.S.P.T
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistPT-011272-LPA

General Provider Information

NPI Number : 1023239688
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOEL JAMES DIGRIS M.S.P.T
Provider Business Mailing Address
First Line : 1000 WEST OAK ST.
Second Line :
City : FRACKVILLE
State : PA
Zip : 17931
Country : US
Telephone Number : 570-640-3321
Fax Number : 866-735-4585
Provider Business Practice Location Address
First Line : 846 E WICONISCO AVE
Second Line :
City : TOWER CITY
State : PA
Zip : 17980-1609
Country : US
Telephone Number : 570-640-3321
Fax Number : 866-735-4585
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2007
Last Update Date : 11/21/2023

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Directions to “ MR. JOEL JAMES DIGRIS M.S.P.T” Practice Location

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