MEDICARE: MS. DANA NICOLE ADELIZZI 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
1	225100000X	Physical Therapist	PT017434	PA

General Provider Information

NPI Number	:	1720088404
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DANA NICOLE ADELIZZI DPT

Provider Business Mailing Address
First Line	:	632 MOCKINGBIRD LN
Second Line	:
City	:	NORRISTOWN
State	:	PA
Zip	:	19403-1916
Country	:	US
Telephone Number	:	610-666-5176
Fax Number	:

Provider Business Practice Location Address
First Line	:	10 GLOCKER WAY
Second Line	:
City	:	POTTSTOWN
State	:	PA
Zip	:	19465
Country	:	US
Telephone Number	:	610-323-4300
Fax Number	:	610-323-6005

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

Provider Enumeration Date	:	07/26/2005
Last Update Date	:	07/08/2007

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