MEDICARE: ANTHONY J VECCHIO MPT, ATRIC

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
1	225100000X	Physical Therapist

General Provider Information

NPI Number	:	1407830870
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTHONY J VECCHIO MPT, ATRIC

Provider Business Mailing Address
First Line	:	1275 S MAIN ST
Second Line	:	SUITE 201
City	:	GREENSBURG
State	:	PA
Zip	:	15601-5385
Country	:	US
Telephone Number	:	724-219-3027
Fax Number	:	724-219-3031

Provider Business Practice Location Address
First Line	:	1275 S MAIN ST
Second Line	:	SUITE 201
City	:	GREENSBURG
State	:	PA
Zip	:	15601-5385
Country	:	US
Telephone Number	:	724-219-3027
Fax Number	:	724-219-3031

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2005
Last Update Date	:	07/26/2010

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