MEDICARE: TESSA J SCHARF 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	PT21341	FL

General Provider Information

NPI Number	:	1750576674
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TESSA J SCHARF P.T.

Provider Business Mailing Address
First Line	:	5367 PENWAY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6716
Country	:	US
Telephone Number	:	714-580-4304
Fax Number	:	407-926-3015

Provider Business Practice Location Address
First Line	:	5367 PENWAY DR
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32814-6716
Country	:	US
Telephone Number	:	714-580-4304
Fax Number	:	407-926-3015

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

Provider Enumeration Date	:	09/13/2007
Last Update Date	:	09/13/2007

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