Provider Demographics
NPI:1225299308
Name:GALLUCCI, JOANNE (PTA)
Entity Type:Individual
Prefix:
First Name:JOANNE
Middle Name:
Last Name:GALLUCCI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:696 PERRY HWY
Mailing Address - Street 2:
Mailing Address - City:HARMONY
Mailing Address - State:PA
Mailing Address - Zip Code:16037-8414
Mailing Address - Country:US
Mailing Address - Phone:724-612-2238
Mailing Address - Fax:
Practice Address - Street 1:696 PERRY HWY
Practice Address - Street 2:
Practice Address - City:HARMONY
Practice Address - State:PA
Practice Address - Zip Code:16037-8414
Practice Address - Country:US
Practice Address - Phone:724-612-2238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ6584A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant