Provider Demographics
NPI:1225539851
Name:DEGRAZIO, GIANNA CAPRI (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:GIANNA
Middle Name:CAPRI
Last Name:DEGRAZIO
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:524 W MAIN ST # 1E
Mailing Address - Street 2:
Mailing Address - City:TRAPPE
Mailing Address - State:PA
Mailing Address - Zip Code:19426-1949
Mailing Address - Country:US
Mailing Address - Phone:267-532-6234
Mailing Address - Fax:
Practice Address - Street 1:524 W MAIN ST # 1E
Practice Address - Street 2:
Practice Address - City:TRAPPE
Practice Address - State:PA
Practice Address - Zip Code:19426-1949
Practice Address - Country:US
Practice Address - Phone:267-532-6234
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-28
Last Update Date:2020-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program