Provider Demographics
NPI:1265603401
Name:CERMINARO, ANTHONY FRANCIS (PT)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:FRANCIS
Last Name:CERMINARO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:774 MILLER RD
Mailing Address - Street 2:
Mailing Address - City:UNITYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17774-9182
Mailing Address - Country:US
Mailing Address - Phone:570-584-6210
Mailing Address - Fax:
Practice Address - Street 1:181 MAIN ST
Practice Address - Street 2:
Practice Address - City:NORWAY
Practice Address - State:ME
Practice Address - Zip Code:04268-5664
Practice Address - Country:US
Practice Address - Phone:207-744-6160
Practice Address - Fax:207-743-1577
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-16
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEPT4710208100000X
PAPT008604L2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic