MEDICARE: ANGEL TOUCH PHYSICAL THERAPY INC

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

General Provider Information

NPI Number	:	1649962986
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGEL TOUCH PHYSICAL THERAPY INC

Provider Business Mailing Address
First Line	:	1265 SEASONS BLVD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-6118
Country	:	US
Telephone Number	:	516-568-7619
Fax Number	:	516-568-7620

Provider Business Practice Location Address
First Line	:	1265 SEASONS BLVD
Second Line	:
City	:	KISSIMMEE
State	:	FL
Zip	:	34746-6118
Country	:	US
Telephone Number	:	516-568-7619
Fax Number	:	516-568-7620

Authorized Official
Title or Position	:	DPT
Name	:	DR. WAQAR A MUHAMMAD
Credential	:
Telephone Number	:	516-376-3414

Provider Enumeration Date	:	05/24/2023
Last Update Date	:	05/24/2023

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