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NPI Code Detail

MEDICARE: MRS. CARIANNE N YEPEZ PTA

MEDICARE: MRS. CARIANNE N YEPEZ PTA
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
1225200000XPhysical Therapy Assistant

General Provider Information

NPI Number : 1558967893
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CARIANNE N YEPEZ PTA
Provider Business Mailing Address
First Line : 2550 N ALAFAYA TRL APT 1207
Second Line :
City : ORLANDO
State : FL
Zip : 32826-3627
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10743 NARCOOSSEE RD STE A24
Second Line :
City : ORLANDO
State : FL
Zip : 32832-6947
Country : US
Telephone Number : 407-845-7048
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/10/2020
Last Update Date : 12/10/2020

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