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NPI Code Detail

MEDICARE: MR. ANTHONY SANTUCCI PT

MEDICARE: MR. ANTHONY SANTUCCI 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 Therapist008130OH

General Provider Information

NPI Number : 1336776632
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANTHONY SANTUCCI PT
Provider Business Mailing Address
First Line : 2582 PINE LAKE TRL
Second Line :
City : UNIONTOWN
State : OH
Zip : 44685-9795
Country : US
Telephone Number : 330-354-1992
Fax Number :
Provider Business Practice Location Address
First Line : 1500 CANTON RD STE 350
Second Line :
City : AKRON
State : OH
Zip : 44312-4089
Country : US
Telephone Number : 330-784-1271
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2020
Last Update Date : 03/25/2020

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Directions to “ MR. ANTHONY SANTUCCI PT” Practice Location

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