Provider Demographics
NPI:1659700946
Name:TAGLIATERRA, ANNETTE (PT)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:TAGLIATERRA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 FALCON LN
Mailing Address - Street 2:
Mailing Address - City:ARCHBALD
Mailing Address - State:PA
Mailing Address - Zip Code:18403-2405
Mailing Address - Country:US
Mailing Address - Phone:570-313-8659
Mailing Address - Fax:
Practice Address - Street 1:119 FALCON LN
Practice Address - Street 2:
Practice Address - City:ARCHBALD
Practice Address - State:PA
Practice Address - Zip Code:18403-2405
Practice Address - Country:US
Practice Address - Phone:570-313-8659
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-11-06
Last Update Date:2021-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0065404L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist