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NPI Code Detail

MEDICARE: COLLEEN SCORDATO DPT, MDT

MEDICARE: COLLEEN SCORDATO DPT, MDT
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
1225100000XPhysical TherapistPT25445FL

General Provider Information

NPI Number : 1194012690
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLEEN SCORDATO DPT, MDT
Provider Business Mailing Address
First Line : 1341 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4909
Country : US
Telephone Number : 407-691-7687
Fax Number : 407-691-7697
Provider Business Practice Location Address
First Line : 1341 ORANGE AVE
Second Line :
City : WINTER PARK
State : FL
Zip : 32789-4909
Country : US
Telephone Number : 407-691-7687
Fax Number : 407-691-7697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2011
Last Update Date : 01/04/2024

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Directions to “ COLLEEN SCORDATO DPT, MDT” Practice Location

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