National Provider Identifier

Joseph Louis Teutonico, PTA

Joseph Louis Teutonico, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Newark, NY and a listed phone number of (315) 332-2700.

NPI 1043822133Newark, NYPhysical Therapy Assistant

Profile Overview

NPI
1043822133
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
August 19, 2020
Last Updated
August 19, 2020

Practice Location

  • 100 Sunset Dr
  • Newark, NY 14513-1068

Phone: (315) 332-2700

Mailing Address

  • 776 Royal Sunset Dr
  • Webster, NY 14580-2566

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1043822133
Entity Type
Individual
Last Name
Teutonico
First Name
Joseph
Middle Name
Louis
Name Prefix
Mr.
Credential
PTA
Mailing Street Address
776 Royal Sunset Dr
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2566
Mailing Country
US
Mailing Phone
(432) 254-1371
Practice Street Address
100 Sunset Dr
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-1068
Practice Country
US
Practice Phone
(315) 332-2700
Enumeration Date
August 19, 2020
Last Updated
August 19, 2020
Sex
Male
Sole Proprietor
Yes
Certification Date
August 19, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)