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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JEROME JAMES DERISO, MPT

Active Sole Proprietor

JEROME JAMES DERISO, MPT is a Physical Therapy Assistant healthcare provider located in LIGONIER, Pennsylvania. NPI 1689728867 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · LIGONIER, PA

Registration Details

NPI Number
1689728867
Provider Type
Individual
Gender
Male
NPI Issued
Jan 23, 2007 (19.375273158729 yrs)
Last Updated
Jul 8, 2007
License
PT008042L (PA)
Sole Proprietor
Yes

Practice Information

Address
1865 ROUTE 30
LIGONIER, PA, 156588515
Browse PA providers · Browse ZIP 15658
Phone
7242389185
Fax
7242389186
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in LIGONIER, PA

Name Credential NPI
DR. ROXANE ETHLYN PEIFFER LPT 1780645465
DAVID WAYNE MCLEARY MSPT 1720019227
JULIE KATHLEEN RITTENHOUSE 1184711004
JULIE KOZORA PT 1205971470
DARLEEN MARIE ROSS P.T. 1679795587
MRS. MEREDITH LYNN HINDLE-HOLT MPT 1366645996
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.