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NPI Code Detail

MEDICARE: ROBERT CONTRERAS PTA

MEDICARE: ROBERT CONTRERAS PTA
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
1225200000XPhysical Therapy AssistantPTA18732FL

General Provider Information

NPI Number : 1609038488
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBERT CONTRERAS PTA
Provider Business Mailing Address
First Line : 2222 SULLIVAN TRL
Second Line :
City : EASTON
State : PA
Zip : 18040-7958
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1700 NE INDIAN RIVER DR
Second Line :
City : JENSEN BEACH
State : FL
Zip : 34957-5853
Country : US
Telephone Number : 772-225-1355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2008
Last Update Date : 07/02/2008

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Directions to “ ROBERT CONTRERAS PTA” Practice Location

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