Provider Demographics
NPI:1952127722
Name:DIGIACOPO, ISABELLA DOMENICA (PT, DPT)
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:DOMENICA
Last Name:DIGIACOPO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1311 MAMARONECK AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5224
Mailing Address - Country:US
Mailing Address - Phone:914-294-4050
Mailing Address - Fax:
Practice Address - Street 1:446 NJ-10
Practice Address - Street 2:UNIT 1
Practice Address - City:WHIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07981
Practice Address - Country:US
Practice Address - Phone:862-799-8380
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA02305600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist