MEDICARE: MRS. CYNTHIA S. BELTRANO 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	PT16398	FL

General Provider Information

NPI Number	:	1760699755
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA S. BELTRANO P.T.

Provider Business Mailing Address
First Line	:	112 JONES CREEK DR
Second Line	:
City	:	JUPITER
State	:	FL
Zip	:	33458-7700
Country	:	US
Telephone Number	:	561-741-0227
Fax Number	:

Provider Business Practice Location Address
First Line	:	11911 US HIGHWAY 1 STE 102
Second Line	:
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-2872
Country	:	US
Telephone Number	:	561-626-5433
Fax Number	:	591-626-3371

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

Provider Enumeration Date	:	05/17/2007
Last Update Date	:	07/08/2007

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