MISS Marisa Anne Persichilli, P.T., D.P.T.

NPI #1033586987 in Saint James, New York

Provider Information

NPI Number: 1033586987
Entity Type: Individual
Name: MISS Marisa Anne Persichilli, P.T., D.P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T., D.P.T.
Enumeration Date: Aug 26, 2015
Last Updated: Aug 26, 2015

Practice Location

Address: 290 2ND AVE
City: Saint James
State: New York
ZIP Code: 11780-2350
Phone: (631) 232-0426

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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