MEDICARE: MS. MIRI INGWER

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	2251X0800X	Orthopedic Physical Therapist

General Provider Information

NPI Number	:	1447257357
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MIRI INGWER

Provider Business Mailing Address
First Line	:	3100 S FEDERAL HWY STE A
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3321
Country	:	US
Telephone Number	:	561-241-4411
Fax Number	:	561-241-4211

Provider Business Practice Location Address
First Line	:	3100 S FEDERAL HWY STE A
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33483-3321
Country	:	US
Telephone Number	:	561-241-4411
Fax Number	:	561-241-4211

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/28/2022

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Directions to “ MS. MIRI INGWER ” Practice Location

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