Provider Demographics
NPI:1073567699
Name:ASARO, RICHARD D (PT)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:D
Last Name:ASARO
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 HAMILTON TER
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33414-4339
Mailing Address - Country:US
Mailing Address - Phone:561-793-6648
Mailing Address - Fax:
Practice Address - Street 1:119 HAMILTON TER
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33414-4339
Practice Address - Country:US
Practice Address - Phone:561-793-6648
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL16204225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist