Provider Demographics
NPI:1053518936
Name:PICCHI, FRANCIS PATRICK JR (PTA)
Entity type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:PATRICK
Last Name:PICCHI
Suffix:JR
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:310 SANTA FE DR
Mailing Address - Street 2:
Mailing Address - City:ALAMOGORDO
Mailing Address - State:NM
Mailing Address - Zip Code:88310-6012
Mailing Address - Country:US
Mailing Address - Phone:505-491-9750
Mailing Address - Fax:
Practice Address - Street 1:205 MOONGLOW AVE
Practice Address - Street 2:
Practice Address - City:ALAMOGORDO
Practice Address - State:NM
Practice Address - Zip Code:88310-3339
Practice Address - Country:US
Practice Address - Phone:505-434-6151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMA140225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant