Provider Demographics
NPI:1831362599
Name:MONTEFELTRI, JAMES BRIAN (LAT)
Entity type:Individual
Prefix:MR
First Name:JAMES
Middle Name:BRIAN
Last Name:MONTEFELTRI
Suffix:
Gender:M
Credentials:LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:97 HART DR
Mailing Address - Street 2:
Mailing Address - City:LITCHFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06759-2611
Mailing Address - Country:US
Mailing Address - Phone:860-307-7717
Mailing Address - Fax:
Practice Address - Street 1:345 ALBANY TPKE
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:CT
Practice Address - Zip Code:06019-2529
Practice Address - Country:US
Practice Address - Phone:860-693-6226
Practice Address - Fax:860-693-8002
Is Sole Proprietor?:No
Enumeration Date:2008-04-02
Last Update Date:2008-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0003732255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer