Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | PT022197 | PA |
NPI | 1003171307 |
---|---|
Provider Name | Abigail Frances Digilio |
First Address | Lewistown, PA 17044-2160 |
Second Address | Lewistown, PA 17044-2160 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/07/2012 |
Last Update Date | 29/11/2012 |