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NPI Code Detail

MEDICARE: DR. FRANK SERINO MS PT, DPT

MEDICARE: DR. FRANK SERINO MS PT, 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 TherapistPT 012939LPA

General Provider Information

NPI Number : 1689870347
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK SERINO MS PT, DPT
Provider Business Mailing Address
First Line : 403 ICE HARVEST DR
Second Line :
City : MOUNTAIN TOP
State : PA
Zip : 18707-9607
Country : US
Telephone Number : 215-873-5071
Fax Number :
Provider Business Practice Location Address
First Line : 1086 HIGHWAY 315 BLVD
Second Line :
City : WILKES BARRE
State : PA
Zip : 18702-7012
Country : US
Telephone Number : 570-823-7761
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 12/12/2024

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