Provider Demographics
NPI:1679674030
Name:FRATTO, LOUIE (MSPT)
Entity Type:Individual
Prefix:MR
First Name:LOUIE
Middle Name:
Last Name:FRATTO
Suffix:
Gender:M
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:522 CANOE PT
Mailing Address - Street 2:
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33444-1784
Mailing Address - Country:US
Mailing Address - Phone:561-279-4458
Mailing Address - Fax:
Practice Address - Street 1:11380 PROSPERITY FARMS RD
Practice Address - Street 2:SUITE B 109
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-3474
Practice Address - Country:US
Practice Address - Phone:561-803-7761
Practice Address - Fax:561-803-7762
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18490225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY9291ZMedicare ID - Type Unspecified