MEDICARE: KORTNEE SINDEL P.T.

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	PT29278	FL

General Provider Information

NPI Number	:	1386052694
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KORTNEE SINDEL P.T.

Provider Business Mailing Address
First Line	:	18982 CLOUD LAKE CIRCLE
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496
Country	:	US
Telephone Number	:	402-450-6689
Fax Number	:

Provider Business Practice Location Address
First Line	:	5677 PACIFIC BLVD APT 2404
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-6738
Country	:	US
Telephone Number	:	402-450-6689
Fax Number	:

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

Provider Enumeration Date	:	07/30/2014
Last Update Date	:	07/11/2017

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