Provider Demographics
NPI:1417349911
Name:MONTECER, RONALDO JR (PT)
Entity type:Individual
Prefix:
First Name:RONALDO
Middle Name:
Last Name:MONTECER
Suffix:JR
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 1:7651 MATAPEAKE BUSINESS DR STE 203
Mailing Address - Street 2:
Mailing Address - City:BRANDYWINE
Mailing Address - State:MD
Mailing Address - Zip Code:20613-3042
Mailing Address - Country:US
Mailing Address - Phone:301-782-4600
Mailing Address - Fax:
Practice Address - Street 1:7651 MATAPEAKE BUSINESS DR STE 203
Practice Address - Street 2:
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-3042
Practice Address - Country:US
Practice Address - Phone:301-782-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-02-21
Last Update Date:2025-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD24890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist