MEDICARE: MRS. MARIA PAPARELLA 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	PT25385	FL

General Provider Information

NPI Number	:	1568775146
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MARIA PAPARELLA PT

Provider Business Mailing Address
First Line	:	5645 CORAL RIDGE DR # 377
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33076-3124
Country	:	US
Telephone Number	:	954-579-2844
Fax Number	:

Provider Business Practice Location Address
First Line	:	4756 N FEDERAL HWY
Second Line	:
City	:	LIGHTHOUSE POINT
State	:	FL
Zip	:	33064-6553
Country	:	US
Telephone Number	:	954-946-8877
Fax Number	:

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

Provider Enumeration Date	:	07/23/2010
Last Update Date	:	06/13/2016

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