MEDICARE: CAROLINA VIVIAN SERRANO HANKE PHYSIOTHERAPIST

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	PT42788	FL

General Provider Information

NPI Number	:	1376345405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CAROLINA VIVIAN SERRANO HANKE PHYSIOTHERAPIST

Provider Business Mailing Address
First Line	:	5640 W ATLANTIC AVENUE, APT 107
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484
Country	:	US
Telephone Number	:	561-927-7518
Fax Number	:

Provider Business Practice Location Address
First Line	:	5195 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-8171
Country	:	US
Telephone Number	:	561-637-7195
Fax Number	:

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

Provider Enumeration Date	:	03/27/2025
Last Update Date	:	03/27/2025

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