Mr. Kraig Randolph Gualtieri
Physical Therapist - Orthopedic
266 Lancaster Ave
Malvern
, Pennsylvania 19355-3256
Mr. Kraig Randolph Gualtieri
Physical Therapist - Orthopedic
266 Lancaster Ave
Malvern
, Pennsylvania 19355-3256
(610) 280-1506
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About
Features
Specialties
- Physical Therapist - Orthopedic
Languages spoken
- English
Location
First Address
- Mr. Kraig Randolph Gualtieri
- 491 John Young Way
- Exton, PA
- Zip : 19341-2567
- Fax : (610) 280-1506
- Phone : (610) 524-7251
Second Address
- Mr. Kraig Randolph Gualtieri
- 266 Lancaster Ave
- Malvern, PA
- Zip : 19355-3256
- Fax : (610) 640-0630
- Phone : (610) 640-4133
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251X0800X | Physical Therapist - Orthopedic | PT004087E | PA |
National Provider Identifier
| NPI | 1073531216 |
|---|---|
| Provider Name | Mr. Kraig Randolph Gualtieri |
| First Address | Exton, PA 19341-2567 |
| Second Address | Malvern, PA 19355-3256 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/07/2006 |
| Last Update Date | 20/12/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.