MEDICARE: DOROTHY M SANTI PHYSICAL THERAPISST

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	174400000X	Specialist	20103	FL

General Provider Information

NPI Number	:	1154380426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOROTHY M SANTI PHYSICAL THERAPISST

Provider Business Mailing Address
First Line	:	1530 S OCEAN BLVD
Second Line	:	#602
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-7441
Country	:	US
Telephone Number	:	954-941-4242
Fax Number	:	954-941-4242

Provider Business Practice Location Address
First Line	:	1530 S OCEAN BLVD
Second Line	:	#602
City	:	POMPANO BEACH
State	:	FL
Zip	:	33062-7441
Country	:	US
Telephone Number	:	954-941-4242
Fax Number	:	954-941-4242

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

Provider Enumeration Date	:	03/23/2006
Last Update Date	:	07/08/2007

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