National Provider Identifier
Juan Pantoja, DPT
Juan Pantoja, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Mendon, NY and a listed phone number of (585) 582-1330.
Profile Overview
- NPI
- 1558874404
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 14, 2017
- Last Updated
- September 30, 2024
Practice Location
- 110 Assembly Dr
- Mendon, NY 14506-9600
Phone: (585) 582-1330
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1558874404
- Entity Type
- Individual
- Last Name
- Pantoja
- First Name
- Juan
- Credential
- DPT
- Mailing Street Address
- 110 Assembly Dr
- Mailing City
- Mendon
- Mailing State
- NY
- Mailing ZIP Code
- 14506-9600
- Mailing Country
- US
- Mailing Phone
- (585) 582-1330
- Practice Street Address
- 110 Assembly Dr
- Practice City
- Mendon
- Practice State
- NY
- Practice ZIP Code
- 14506-9600
- Practice Country
- US
- Practice Phone
- (585) 582-1330
- Enumeration Date
- November 14, 2017
- Last Updated
- September 30, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- September 30, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)