Provider Demographics
NPI:1447706155
Name:MCNEAL, ROBERT BRYANT (PT)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:BRYANT
Last Name:MCNEAL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VIA CONTRADA BOSCARIELLO
Mailing Address - Street 2:
Mailing Address - City:GRICIGNANO DI AVERSA
Mailing Address - State:CASERTA
Mailing Address - Zip Code:81030
Mailing Address - Country:IT
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:VIA CONTRADA BOSCARIELLO
Practice Address - Street 2:
Practice Address - City:GRICIGNANO DI AVERSA
Practice Address - State:CASERTA
Practice Address - Zip Code:81030
Practice Address - Country:IT
Practice Address - Phone:314-629-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2023-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1298376225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist