Provider Demographics
NPI:1679750293
Name:NACCARI, PAUL CURTIS (PT)
Entity Type:Individual
Prefix:
First Name:PAUL
Middle Name:CURTIS
Last Name:NACCARI
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 1:7520 WESTBANK EXPY
Mailing Address - Street 2:STE D
Mailing Address - City:MARRERO
Mailing Address - State:LA
Mailing Address - Zip Code:70072-2354
Mailing Address - Country:US
Mailing Address - Phone:504-371-4226
Mailing Address - Fax:504-371-4228
Practice Address - Street 1:7520 WESTBANK EXPY
Practice Address - Street 2:STE D
Practice Address - City:MARRERO
Practice Address - State:LA
Practice Address - Zip Code:70072-2354
Practice Address - Country:US
Practice Address - Phone:504-371-4226
Practice Address - Fax:504-371-4228
Is Sole Proprietor?:No
Enumeration Date:2008-01-25
Last Update Date:2008-01-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
LA07237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist