Provider Demographics
NPI:1689092769
Name:SQUADRITO, JAMES VITO JR (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:VITO
Last Name:SQUADRITO
Suffix:JR
Gender:M
Credentials:PT, DPT
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Mailing Address - Street 1:3356 BIRNEY PLAZA
Mailing Address - Street 2:PRO REHABILITATION SERVICES
Mailing Address - City:MOOSIC
Mailing Address - State:PA
Mailing Address - Zip Code:18507
Mailing Address - Country:US
Mailing Address - Phone:570-347-7790
Mailing Address - Fax:570-347-7791
Practice Address - Street 1:3356 BIRNEY PLAZA
Practice Address - Street 2:PRO REHABILITATION SERVICES
Practice Address - City:MOOSIC
Practice Address - State:PA
Practice Address - Zip Code:18507
Practice Address - Country:US
Practice Address - Phone:570-347-7790
Practice Address - Fax:570-347-7791
Is Sole Proprietor?:No
Enumeration Date:2014-04-04
Last Update Date:2014-04-04
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Provider Licenses
StateLicense IDTaxonomies
PAPT023251225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist