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NPI Code Detail

MEDICARE: ROBERT MONTANARO PT

MEDICARE: ROBERT MONTANARO PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist03156FLA

General Provider Information

NPI Number : 1376566851
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT MONTANARO PT
Provider Business Mailing Address
First Line : 11320 INDUSTRIPLEX BOULEVARD
Second Line :
City : BATON ROUGE
State : LA
Zip : 70809
Country : US
Telephone Number : 225-295-8183
Fax Number : 225-295-8236
Provider Business Practice Location Address
First Line : 3103 MONTERREY DR
Second Line : SUITE A
City : BATON ROUGE
State : LA
Zip : 70814-4024
Country : US
Telephone Number : 225-924-1088
Fax Number : 225-924-4717
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/25/2006
Last Update Date : 05/16/2011

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