Provider Demographics
NPI:1033995188
Name:MAIALE, GIOIA (DPT)
Entity Type:Individual
Prefix:MS
First Name:GIOIA
Middle Name:
Last Name:MAIALE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4647 W CHESTER PIKE
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19073-2226
Mailing Address - Country:US
Mailing Address - Phone:610-353-7533
Mailing Address - Fax:610-353-7535
Practice Address - Street 1:4647 W CHESTER PIKE
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-2226
Practice Address - Country:US
Practice Address - Phone:610-353-7533
Practice Address - Fax:610-353-7535
Is Sole Proprietor?:No
Enumeration Date:2023-09-05
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT031559225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist