Individual ProviderAudrey IronsidePhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address2501 Burns Rd, Palm Beach Gardens, FL 33410-5207(561) 627-4427(561) 775-6332PECOS EnrollmentBased on the most recent information from CMS, provider Audrey Ironside does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1184674368Provider TypeIndividualFull NameIronside, AudreyTitleMs.CredentialP.T.GenderFemaleEnumeration Date5/11/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2501 Burns Rd, Palm Beach Gardens, FL 33410-5207Phone(561) 627-4427Fax(561) 627-2798Mailing LocationMailing Address1782 Tudor Rd, North Palm Beach, FL 33408-2435Phone(561) 775-6332FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense10651Florida