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NPI Code Detail

MEDICARE: MR. PETER CONTOS II PHYSICAL THERAPIST

MEDICARE: MR. PETER CONTOS II PHYSICAL 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 Therapist2305204379VA

General Provider Information

NPI Number : 1124000492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PETER CONTOS II PHYSICAL THERAPIST
Provider Business Mailing Address
First Line : 4728 29TH ST S
Second Line : #A1
City : ARLINGTON
State : VA
Zip : 22206-1334
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4301 WILSON ST
Second Line :
City : FORT SILL
State : OK
Zip : 73503-4472
Country : US
Telephone Number : 580-558-8243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/14/2005
Last Update Date : 07/13/2023

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Directions to “ MR. PETER CONTOS II PHYSICAL THERAPIST” Practice Location

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