Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | PT013662L | PA |
NPI | 1225165095 |
---|---|
Provider Name | Dr. Michelle Germaine Criss |
First Address | Pittsburgh, PA 15235-5318 |
Second Address | Verona, PA 15147-3033 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/02/2007 |
Last Update Date | 14/03/2021 |