Provider Demographics
NPI:1023230836
Name:PIANKO, ANNA MARIE (LPT)
Entity type:Individual
Prefix:MISS
First Name:ANNA
Middle Name:MARIE
Last Name:PIANKO
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 57
Mailing Address - Street 2:
Mailing Address - City:LOYALHANNA
Mailing Address - State:PA
Mailing Address - Zip Code:15661
Mailing Address - Country:US
Mailing Address - Phone:724-539-2727
Mailing Address - Fax:
Practice Address - Street 1:535 MCFARLAND ROAD
Practice Address - Street 2:
Practice Address - City:LATROBE
Practice Address - State:PA
Practice Address - Zip Code:15650
Practice Address - Country:US
Practice Address - Phone:724-537-5500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015281225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist