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NPI Code Detail

MEDICARE: LINTON PEIXOTO PHISICAL THERAPIST

MEDICARE:   LINTON  PEIXOTO  PHISICAL THERAPIST
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 Therapist015895NY

General Provider Information

NPI Number : 1093853806
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINTON PEIXOTO PHISICAL THERAPIST
Provider Business Mailing Address
First Line : 1324 LOHENGRIN PL
Second Line :
City : BRONX
State : NY
Zip : 10465-1326
Country : US
Telephone Number : 718-597-1511
Fax Number :
Provider Business Practice Location Address
First Line : 1324 LOHENGRIN PL
Second Line :
City : BRONX
State : NY
Zip : 10465-1326
Country : US
Telephone Number : 718-597-1511
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2007
Last Update Date : 07/08/2007

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Directions to “ LINTON PEIXOTO PHISICAL THERAPIST” Practice Location

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