MEDICARE: KRISTIN HALLBERG

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	PT32391	FL

General Provider Information

NPI Number	:	1851828628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTIN HALLBERG

Provider Business Mailing Address
First Line	:	7502 JOHN HANCOCK DR
Second Line	:
City	:	WINTER GARDEN
State	:	FL
Zip	:	34787-5197
Country	:	US
Telephone Number	:	407-484-8368
Fax Number	:

Provider Business Practice Location Address
First Line	:	6052 TURKEY LAKE RD STE 118
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32819-4223
Country	:	US
Telephone Number	:	407-305-2511
Fax Number	:	407-537-6555

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

Provider Enumeration Date	:	05/11/2017
Last Update Date	:	02/02/2023

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Directions to “ KRISTIN HALLBERG ” Practice Location

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