MEDICARE: TREVOR MEYEROWTIZ PT INC

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	PT 19785	FL

General Provider Information

NPI Number	:	1205164316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREVOR MEYEROWTIZ PT INC

Provider Business Mailing Address
First Line	:	7246 CARMEL CT
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-5544
Country	:	US
Telephone Number	:	561-542-0060
Fax Number	:	561-395-7846

Provider Business Practice Location Address
First Line	:	7246 CARMEL CT
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33433-5544
Country	:	US
Telephone Number	:	561-542-0060
Fax Number	:	561-395-7846

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MR. TREVOR MEYEROWITZ
Credential	:	P.T.
Telephone Number	:	561-542-0060

Provider Enumeration Date	:	12/01/2009
Last Update Date	:	12/01/2009

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