Provider Demographics
NPI:1750992426
Name:MARCUCCI, GEORGE JOSEPH I (PTA)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:JOSEPH
Last Name:MARCUCCI
Suffix:I
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1316 PINE ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19401-3209
Mailing Address - Country:US
Mailing Address - Phone:610-279-4239
Mailing Address - Fax:
Practice Address - Street 1:1316 PINE ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19401-3209
Practice Address - Country:US
Practice Address - Phone:610-279-4239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-14
Last Update Date:2020-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant