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NPI Code Detail

MEDICARE: MISS ANDREA LYNN ARTISE D.P.T.

MEDICARE: MISS ANDREA LYNN ARTISE D.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
1225100000XPhysical Therapist26336FL

General Provider Information

NPI Number : 1962748558
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS ANDREA LYNN ARTISE D.P.T.
Provider Business Mailing Address
First Line : 6169 S JOG RD STE A11
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-6586
Country : US
Telephone Number : 561-432-0111
Fax Number : 561-432-1075
Provider Business Practice Location Address
First Line : 4714 OKEECHOBEE BLVD
Second Line :
City : WEST PALM BEACH
State : FL
Zip : 33417-4626
Country : US
Telephone Number : 561-432-0111
Fax Number : 561-432-1075
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/31/2012
Last Update Date : 01/03/2013

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Directions to “ MISS ANDREA LYNN ARTISE D.P.T.” Practice Location

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