Provider Demographics
NPI:1598220741
Name:FRANK ANGIOLILLO PHYSICAL THERAPY
Entity Type:Organization
Organization Name:FRANK ANGIOLILLO PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FRANCIS
Authorized Official - Middle Name:A
Authorized Official - Last Name:ANGIOLILLO
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:215-512-4655
Mailing Address - Street 1:417 MONTIER RD
Mailing Address - Street 2:
Mailing Address - City:GLENSIDE
Mailing Address - State:PA
Mailing Address - Zip Code:19038-3325
Mailing Address - Country:US
Mailing Address - Phone:215-512-4655
Mailing Address - Fax:
Practice Address - Street 1:417 MONTIER RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-3325
Practice Address - Country:US
Practice Address - Phone:215-512-4655
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-01
Last Update Date:2019-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty