Provider Demographics
NPI:1467287482
Name:TIOPIANCO, ANGELO (PT)
Entity type:Individual
Prefix:
First Name:ANGELO
Middle Name:
Last Name:TIOPIANCO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1072 FRESHWATER CT
Mailing Address - Street 2:
Mailing Address - City:VACAVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95687-7910
Mailing Address - Country:US
Mailing Address - Phone:707-761-2152
Mailing Address - Fax:
Practice Address - Street 1:101 S ORCHARD AVE
Practice Address - Street 2:
Practice Address - City:VACAVILLE
Practice Address - State:CA
Practice Address - Zip Code:95688-3635
Practice Address - Country:US
Practice Address - Phone:707-448-6458
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-09
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT-29823225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist