MEDICARE: AA THERAPY CENTER INC0RPORATED

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	261QP2000X	Physical Therapy Clinic/Center	Z8570A	FL

General Provider Information

NPI Number	:	1063613933
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AA THERAPY CENTER INC0RPORATED

Provider Business Mailing Address
First Line	:	5702 LAKE WORTH RD
Second Line	:	SUITE 11
City	:	GREENACRES
State	:	FL
Zip	:	33463-3269
Country	:	US
Telephone Number	:	561-967-4441
Fax Number	:	561-967-4405

Provider Business Practice Location Address
First Line	:	5702 LAKE WORTH RD
Second Line	:	SUITE 11
City	:	GREENACRES
State	:	FL
Zip	:	33463-3269
Country	:	US
Telephone Number	:	561-967-4441
Fax Number	:	561-967-4405

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. MILTON KAUFMAN
Credential	:	O.T.R.L.
Telephone Number	:	561-967-4441

Provider Enumeration Date	:	05/30/2007
Last Update Date	:	08/30/2008

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