MEDICARE: PATRICK ANTHONY SAIDI 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	PT 19747	FL

General Provider Information

NPI Number	:	1366539876
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PATRICK ANTHONY SAIDI PT

Provider Business Mailing Address
First Line	:	1490 NE PINE ISLAND RD STE 4C
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2165
Country	:	US
Telephone Number	:	239-464-3076
Fax Number	:

Provider Business Practice Location Address
First Line	:	1490 NE PINE ISLAND RD STE 4C
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-2165
Country	:	US
Telephone Number	:	239-464-3076
Fax Number	:

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/08/2007

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