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NPI Code Detail

MEDICARE: EMILY ELISE FAGNELLI

MEDICARE: EMILY ELISE FAGNELLI
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
1225200000XPhysical Therapy AssistantTE013866PA

General Provider Information

NPI Number : 1902769219
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ELISE FAGNELLI
Provider Business Mailing Address
First Line : 1504 BARRY DR
Second Line :
City : IRWIN
State : PA
Zip : 15642-1745
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10 DUFF RD FL 1
Second Line :
City : PITTSBURGH
State : PA
Zip : 15235-3260
Country : US
Telephone Number : 412-247-4117
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2025
Last Update Date : 12/03/2025

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Directions to “ EMILY ELISE FAGNELLI ” Practice Location

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