MEDICARE: MS. FELVINA GARCIA RENNA PT

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

General Provider Information

NPI Number	:	1942347521
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. FELVINA GARCIA RENNA PT

Provider Business Mailing Address
First Line	:	152 BELLEZZA TER
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-4316
Country	:	US
Telephone Number	:	561-632-0926
Fax Number	:	561-952-4665

Provider Business Practice Location Address
First Line	:	152 BELLEZZA TER
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-4316
Country	:	US
Telephone Number	:	561-632-0926
Fax Number	:	561-952-4665

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

Provider Enumeration Date	:	01/31/2007
Last Update Date	:	10/21/2013

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