Jerome James Deriso, MPT

NPI #1689728867 in Ligonier, Pennsylvania

Provider Information

NPI Number: 1689728867
Entity Type: Individual
Name: Jerome James Deriso, MPT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: MPT
Enumeration Date: Jan 23, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1865 ROUTE 30
City: Ligonier
State: Pennsylvania
ZIP Code: 15658-8515
Phone: (724) 238-9185

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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