MEDICARE: MRS. ARLEEN ALVAREZ ANDAYA PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	20659	FL

General Provider Information

NPI Number	:	1013102151
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ARLEEN ALVAREZ ANDAYA PT

Provider Business Mailing Address
First Line	:	1155 8TH PL
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2143
Country	:	US
Telephone Number	:	772-567-9327
Fax Number	:

Provider Business Practice Location Address
First Line	:	1155 8TH PL
Second Line	:
City	:	VERO BEACH
State	:	FL
Zip	:	32960-2143
Country	:	US
Telephone Number	:	772-567-9327
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/12/2007
Last Update Date	:	09/12/2007

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