MEDICARE: ANGELA G FERRER LMT

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	172M00000X	Mechanotherapist	MA45302	FL

General Provider Information

NPI Number	:	1821302555
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA G FERRER LMT

Provider Business Mailing Address
First Line	:	7885 W 10TH AVE
Second Line	:
City	:	HIALEAH
State	:	FL
Zip	:	33014-4015
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7200 NW 7TH ST STE 201
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33126-2941
Country	:	US
Telephone Number	:	786-290-6677
Fax Number	:

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

Provider Enumeration Date	:	08/05/2010
Last Update Date	:	08/05/2010

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