Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251X0800X | Physical Therapist - Orthopedic | PT36747 | FL |
NPI | 1073194502 |
---|---|
Provider Name | Peter Armetta |
First Address | Lehigh Acres, FL 33971-1735 |
Second Address | Lehigh Acres, FL 33971-1735 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/04/2021 |
Last Update Date | 16/04/2021 |