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NPI Code Detail

MEDICARE: MR. PASQUALE COLONNA JR. MSPT

MEDICARE: MR. PASQUALE COLONNA JR. MSPT
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 TherapistPT017305PA

General Provider Information

NPI Number : 1255312849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PASQUALE COLONNA JR. MSPT
Provider Business Mailing Address
First Line : 613 CRICKLEWOOD RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-8507
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 613 CRICKLEWOOD RD
Second Line :
City : WEST CHESTER
State : PA
Zip : 19382-8507
Country : US
Telephone Number : 610-664-2100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2005
Last Update Date : 06/19/2025

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