MEDICARE: CARLA L TESTA 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	PT27345	FL
2	174400000X	Specialist	PT27345	FL

General Provider Information

NPI Number	:	1710109483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA L TESTA PT

Provider Business Mailing Address
First Line	:	PO BOX 331933
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33233-1933
Country	:	US
Telephone Number	:	305-722-0568
Fax Number	:

Provider Business Practice Location Address
First Line	:	9619 S DIXIE HWY
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33156-2804
Country	:	US
Telephone Number	:	305-722-0568
Fax Number	:	305-670-0899

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

Provider Enumeration Date	:	05/03/2007
Last Update Date	:	07/25/2022

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Directions to “ CARLA L TESTA PT” Practice Location

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