MEDICARE: MRS. KAREN ANN HANFLINK MSPT

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	2251X0800X	Orthopedic Physical Therapist	PT22552	FL

General Provider Information

NPI Number	:	1215162961
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN ANN HANFLINK MSPT

Provider Business Mailing Address
First Line	:	6 LITTLE TOMOKA WAY
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-1862
Country	:	US
Telephone Number	:	386-675-4774
Fax Number	:

Provider Business Practice Location Address
First Line	:	290 CLYDE MORRIS BLVD STE B2
Second Line	:
City	:	ORMOND BEACH
State	:	FL
Zip	:	32174-8204
Country	:	US
Telephone Number	:	386-898-0443
Fax Number	:	386-898-0459

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

Provider Enumeration Date	:	05/26/2009
Last Update Date	:	05/26/2009

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