MEDICARE: ORLANDO CHIANG 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	174400000X	Specialist	7911	FL

General Provider Information

NPI Number	:	1720148679
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ORLANDO CHIANG P.T.

Provider Business Mailing Address
First Line	:	20 PORTA VISTA CIR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-5802
Country	:	US
Telephone Number	:	561-346-4221
Fax Number	:	561-627-2556

Provider Business Practice Location Address
First Line	:	20 PORTA VISTA CIR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-5802
Country	:	US
Telephone Number	:	561-346-4221
Fax Number	:	561-627-2556

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

Provider Enumeration Date	:	12/11/2006
Last Update Date	:	07/08/2007

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