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NPI Code Detail

MEDICARE: NICOLE MARUCCO PT

MEDICARE: NICOLE MARUCCO PT
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 TherapistPT016769PA

General Provider Information

NPI Number : 1225087034
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE MARUCCO PT
Provider Business Mailing Address
First Line : PO BOX 206
Second Line :
City : LATROBE
State : PA
Zip : 15650-0206
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2075 ROUTE 286
Second Line :
City : PITTSBURGH
State : PA
Zip : 15239-2839
Country : US
Telephone Number : 724-325-1270
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2006
Last Update Date : 07/08/2007

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Directions to “ NICOLE MARUCCO PT” Practice Location

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