Provider Demographics
NPI:1609011188
Name:UY, SAMUEL JOHN MONTECALVO (PTRP)
Entity Type:Individual
Prefix:MR
First Name:SAMUEL JOHN
Middle Name:MONTECALVO
Last Name:UY
Suffix:
Gender:M
Credentials:PTRP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8813 RACHEL CT
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4558
Mailing Address - Country:US
Mailing Address - Phone:410-988-5933
Mailing Address - Fax:
Practice Address - Street 1:8813 RACHEL CT
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4558
Practice Address - Country:US
Practice Address - Phone:410-988-5933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist