Provider Demographics
NPI:1235427907
Name:SACERINO, ANTHONY JOSEPH (DPT)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:SACERINO
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:324 WAMPUM AVE
Mailing Address - Street 2:
Mailing Address - City:ELLWOOD CITY
Mailing Address - State:PA
Mailing Address - Zip Code:16117-1213
Mailing Address - Country:US
Mailing Address - Phone:724-758-6888
Mailing Address - Fax:724-758-6880
Practice Address - Street 1:324 WAMPUM AVE
Practice Address - Street 2:
Practice Address - City:ELLWOOD CITY
Practice Address - State:PA
Practice Address - Zip Code:16117-1213
Practice Address - Country:US
Practice Address - Phone:724-758-6888
Practice Address - Fax:724-758-6880
Is Sole Proprietor?:No
Enumeration Date:2011-07-15
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020749225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist