MEDICARE: MR. RICHARD PAUL TSANG 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	PT13175	FL
2	171100000X	Acupuncturist	AP 2921	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558302539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RICHARD PAUL TSANG PT

Provider Business Mailing Address
First Line	:	10391 BOYNTON PLACE CIR
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33437-2618
Country	:	US
Telephone Number	:	561-499-3041
Fax Number	:	561-499-3042

Provider Business Practice Location Address
First Line	:	6200 W ATLANTIC AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33484-3501
Country	:	US
Telephone Number	:	561-499-3041
Fax Number	:	561-499-3042

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

Provider Enumeration Date	:	06/09/2006
Last Update Date	:	01/21/2011

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Directions to “ MR. RICHARD PAUL TSANG PT” Practice Location

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