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Provider Information for 1568478675

Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

MR. ANTHONY J. MARITATO PT

Gender: MALE

Individual NPI: 1568478675

Calendar   Last Updated:  2020-01-23
  Certification Date:  2020-01-23

Details

Name Value
NPI 1568478675
Enumeration Date 2006-07-31
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 20 OVERBROOK DR SUITE D
MONROE, OH 45050-3101
United States

Phone: 513-420-9999 | Fax: 877-430-7975
View Map External Link
Primary Practice Address 20 OVERBROOK DR SUITE D
MONROE, OH 45050-3101
United States

Phone: 513-539-2886 | Fax: 877-430-7975
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
MEDICAID OH 2723379
Other LICENSE NUMBER OH PT 011602
Other STATE LICENSE FL PT22751
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 225100000X - Physical Therapist FL PT22751
No 225100000X - Physical Therapist OH PT011602