Provider Demographics
NPI:1619115482
Name:ROMERO, ANNETTE C (PT)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:C
Last Name:ROMERO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ANNETTE
Other - Middle Name:C
Other - Last Name:LABARBIERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:28029 ARROWHEAD CIR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33982-4810
Mailing Address - Country:US
Mailing Address - Phone:201-264-6611
Mailing Address - Fax:
Practice Address - Street 1:3524 TAMIAMI TRL STE 103
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33952-8155
Practice Address - Country:US
Practice Address - Phone:941-764-9695
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-01
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT28277225100000X
NJ40QA0479500225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist