Provider Demographics
NPI:1588062954
Name:LAUKKANEN, EERO ARVIID (RPT)
Entity type:Individual
Prefix:
First Name:EERO
Middle Name:ARVIID
Last Name:LAUKKANEN
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 N DIXIE HWY APT 505
Mailing Address - Street 2:505
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1849
Mailing Address - Country:US
Mailing Address - Phone:561-236-2098
Mailing Address - Fax:
Practice Address - Street 1:7408 LAKE WORTH RD
Practice Address - Street 2:500
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33467-2502
Practice Address - Country:US
Practice Address - Phone:561-432-3696
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-16
Last Update Date:2014-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT0009524225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist