MEDICARE: MS. ANN PERLEY 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	2251P0200X	Pediatric Physical Therapist	20112	FL

General Provider Information

NPI Number	:	1891853636
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANN PERLEY PT

Provider Business Mailing Address
First Line	:	1931 NE 7TH CT
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-3404
Country	:	US
Telephone Number	:	954-524-1665
Fax Number	:

Provider Business Practice Location Address
First Line	:	1931 NE 7TH CT
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33304-3404
Country	:	US
Telephone Number	:	954-524-1665
Fax Number	:

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

Provider Enumeration Date	:	12/05/2006
Last Update Date	:	07/08/2007

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Directions to “ MS. ANN PERLEY PT” Practice Location

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