MEDICARE: BRITTANY ASHLEY CORTAZAR PT, DPT

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	PT38054	FL

General Provider Information

NPI Number	:	1093462764
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY ASHLEY CORTAZAR PT, DPT

Provider Business Mailing Address
First Line	:	9510 SW 103RD AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33176-1646
Country	:	US
Telephone Number	:	305-978-6529
Fax Number	:

Provider Business Practice Location Address
First Line	:	805 SE 3RD AVE
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33316-1105
Country	:	US
Telephone Number	:	954-256-9052
Fax Number	:

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

Provider Enumeration Date	:	03/03/2022
Last Update Date	:	03/03/2022

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