MEDICARE: MS. HEATHER ALBANO P.T.

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
1	225100000X	Physical Therapist	03730	LA

General Provider Information

NPI Number	:	1679976203
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER ALBANO P.T.

Provider Business Mailing Address
First Line	:	7400 ONYX ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2608
Country	:	US
Telephone Number	:	504-427-3807
Fax Number	:

Provider Business Practice Location Address
First Line	:	7400 ONYX ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-2608
Country	:	US
Telephone Number	:	504-427-3807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/26/2014
Last Update Date	:	09/26/2014

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