| Doctor Name: | MS. AUDREY IRONSIDE |
| NPI Number: | 1184674368 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | 10651 |
| Business Practice Address: | 2501 Burns Rd Palm Beach Gardens, FL - 334105207 |
| Business Phone Number: | 5616274427 |
| Business Fax Number: | 5616272798 |
| Mailing Address: | 1782 Tudor Rd, NORTH PALM BEACH |
| State: | FL |
| Postal Code: | 334082435 |
| Phone Number: | 5617756332 |
| Fax Number: | |
| NPI Enumeration Date: | 05/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 10651 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |