Provider Demographics
NPI:1750576674
Name:SCHARF, TESSA J (PT)
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:J
Last Name:SCHARF
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TESSA
Other - Middle Name:J
Other - Last Name:CARBALLO SCHARF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:5367 PENWAY DR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32814-6716
Mailing Address - Country:US
Mailing Address - Phone:714-580-4304
Mailing Address - Fax:407-926-3015
Practice Address - Street 1:5367 PENWAY DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32814-6716
Practice Address - Country:US
Practice Address - Phone:714-580-4304
Practice Address - Fax:407-926-3015
Is Sole Proprietor?:No
Enumeration Date:2007-09-13
Last Update Date:2007-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT21341225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist