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NPI Code Detail

MEDICARE: AMANDA BETH COCCI DPT

MEDICARE:   AMANDA BETH COCCI  DPT
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 TherapistPT019897PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
22123200OTHERPAHIGHMARK PA BLUE SHIELD
31528296282OTHERPABRAVO
43744632000OTHERPAIBC
5306177OTHERUNISON

General Provider Information

NPI Number : 1528296282
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA BETH COCCI DPT
Provider Business Mailing Address
First Line : 1377 MOTOR PKWY
Second Line : STE 307
City : ISLANDIA
State : NY
Zip : 11749-5258
Country : US
Telephone Number : 610-580-5200
Fax Number : 631-760-8306
Provider Business Practice Location Address
First Line : 8019 FRANKFORD AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19136-2786
Country : US
Telephone Number : 215-338-8900
Fax Number : 215-338-8923
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2009
Last Update Date : 08/10/2020

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Directions to “ AMANDA BETH COCCI DPT” Practice Location

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