Provider Demographics
NPI:1477006344
Name:GIAMBATTISTA, CRAIG (DPT)
Entity Type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:
Last Name:GIAMBATTISTA
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 1:1200 CHESTER INDUSTRIAL PKWY
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:OH
Mailing Address - Zip Code:44011-1081
Mailing Address - Country:US
Mailing Address - Phone:440-934-2644
Mailing Address - Fax:440-934-2640
Practice Address - Street 1:1200 CHESTER INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:OH
Practice Address - Zip Code:44011-1081
Practice Address - Country:US
Practice Address - Phone:440-934-2644
Practice Address - Fax:440-934-2640
Is Sole Proprietor?:No
Enumeration Date:2016-07-27
Last Update Date:2016-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016309225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist