MEDICARE: MS. MEREDITH KOWALSKY M.S., P.T.

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	007968	CT
2	225100000X	Physical Therapist	PT41088	FL

General Provider Information

NPI Number	:	1649325465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MEREDITH KOWALSKY M.S., P.T.

Provider Business Mailing Address
First Line	:	9082 BOCA GARDENS PKWY APT A
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-4214
Country	:	US
Telephone Number	:	917-922-8990
Fax Number	:

Provider Business Practice Location Address
First Line	:	9082 BOCA GARDENS PKWY APT B
Second Line	:
City	:	BOCA RATON
State	:	FL
Zip	:	33496-4214
Country	:	US
Telephone Number	:	917-922-8990
Fax Number	:

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

Provider Enumeration Date	:	01/24/2007
Last Update Date	:	06/11/2024

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