Provider Demographics
NPI:1710165253
Name:ATUEL, PETER LYNDELL (RPT)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:LYNDELL
Last Name:ATUEL
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2181 GRANGER AVE
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-2205
Mailing Address - Country:US
Mailing Address - Phone:407-847-2177
Mailing Address - Fax:407-847-2177
Practice Address - Street 1:2181 GRANGER AVE
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-2205
Practice Address - Country:US
Practice Address - Phone:407-847-2177
Practice Address - Fax:407-847-2177
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-06
Last Update Date:2008-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT 20167225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist