Basic Information
| Provider Information | |||||||||
| NPI: | 1952512774 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | INTRIERI | ||||||||
| FirstName: | THOMAS | ||||||||
| MiddleName: | FRANK | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | P.T,A, | ||||||||
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| Mailing Information | |||||||||
| Address1: | 131 ORCHARD DR | ||||||||
| Address2: | |||||||||
| City: | SARVER | ||||||||
| State: | PA | ||||||||
| PostalCode: | 160559530 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7243532532 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 815 FREEPORT RD | ||||||||
| Address2: | 200 BLGD. SUITE 4000 | ||||||||
| City: | PITTSBURGH | ||||||||
| State: | PA | ||||||||
| PostalCode: | 152153301 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4127845010 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/24/2007 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | TE001031L | PA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.