MEDICARE: MRS. MADELIN SAA SANCHEZ PTA

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	225200000X	Physical Therapy Assistant	PTA26980	FL

General Provider Information

NPI Number	:	1831625250
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MADELIN SAA SANCHEZ PTA

Provider Business Mailing Address
First Line	:	140 S DIXIE HWY APT 623
Second Line	:
City	:	HOLLYWOOD
State	:	FL
Zip	:	33020-7321
Country	:	US
Telephone Number	:	305-244-7448
Fax Number	:

Provider Business Practice Location Address
First Line	:	3143 NE 163RD ST
Second Line	:
City	:	NORTH MIAMI BEACH
State	:	FL
Zip	:	33160-4463
Country	:	US
Telephone Number	:	305-343-1365
Fax Number	:	305-705-2907

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

Provider Enumeration Date	:	05/04/2017
Last Update Date	:	07/21/2022

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