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NPI Code Detail

MEDICARE: GIANNA CATHERINE MEMO DPT

MEDICARE: GIANNA CATHERINE MEMO 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 TherapistPT034296PA

General Provider Information

NPI Number : 1528992120
Entity Type Code : Individual
Provider Name (Legal Business Name) : GIANNA CATHERINE MEMO DPT
Provider Business Mailing Address
First Line : 305 RIVERSIDE DR
Second Line :
City : PECKVILLE
State : PA
Zip : 18452-2143
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23 ELLEN MEMORIAL LN
Second Line :
City : HONESDALE
State : PA
Zip : 18431-4096
Country : US
Telephone Number : 570-253-5690
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2026
Last Update Date : 06/09/2026

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Directions to “ GIANNA CATHERINE MEMO DPT” Practice Location

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