MEDICARE: ANETA MOZDYNIEWICZ PT

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	PT28110	FL

General Provider Information

NPI Number	:	1457758534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANETA MOZDYNIEWICZ PT

Provider Business Mailing Address
First Line	:	525 NE 3RD AVE STE 106
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3800
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	525 NE 3RD AVE STE 106
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3800
Country	:	US
Telephone Number	:	561-276-9643
Fax Number	:

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

Provider Enumeration Date	:	12/04/2014
Last Update Date	:	12/04/2014

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Directions to “ ANETA MOZDYNIEWICZ PT” Practice Location

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