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NPI Code Detail

MEDICARE: PETER VONLOSSNITZER P.T.

MEDICARE: PETER VONLOSSNITZER 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
1225100000XPhysical Therapist9124MA

General Provider Information

NPI Number : 1932412939
Entity Type Code : Individual
Provider Name (Legal Business Name) : PETER VONLOSSNITZER P.T.
Provider Business Mailing Address
First Line : PO BOX 866308
Second Line :
City : PLANO
State : TX
Zip : 75086-6308
Country : US
Telephone Number : 800-793-5464
Fax Number : 267-321-2099
Provider Business Practice Location Address
First Line : 721 E FALMOUTH HWY
Second Line :
City : EAST FALMOUTH
State : MA
Zip : 02536-6191
Country : US
Telephone Number : 508-540-7609
Fax Number : 508-540-7539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2010
Last Update Date : 07/29/2010

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