Provider Demographics
NPI:1295918803
Name:LAURENTO, ANTHONY JR (LPT)
Entity type:Individual
Prefix:
First Name:ANTHONY
Middle Name:
Last Name:LAURENTO
Suffix:JR
Gender:M
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1117 NOBB HILL DR
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-1884
Mailing Address - Country:US
Mailing Address - Phone:610-692-0804
Mailing Address - Fax:
Practice Address - Street 1:1117 NOBB HILL DR
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-1884
Practice Address - Country:US
Practice Address - Phone:610-692-0804
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-06
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT007295L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist