Provider Demographics
NPI:1750616504
Name:D'AMORE, JOSEPH NATALE (MSPT, ATC/LAT)
Entity type:Individual
Prefix:
First Name:JOSEPH
Middle Name:NATALE
Last Name:D'AMORE
Suffix:
Gender:M
Credentials:MSPT, ATC/LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3610 QUANTUM LAKES DR
Mailing Address - Street 2:
Mailing Address - City:BOYNTON BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33426-8341
Mailing Address - Country:US
Mailing Address - Phone:561-568-7100
Mailing Address - Fax:
Practice Address - Street 1:1800 W WOOLBRIGHT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33426-6398
Practice Address - Country:US
Practice Address - Phone:561-733-7677
Practice Address - Fax:561-733-7074
Is Sole Proprietor?:No
Enumeration Date:2009-10-13
Last Update Date:2009-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist