Thea Grace Tani DPT

NPI 1225381122 - Physical Therapist - 225100000X

NPI Details
NPI 1225381122
Gender Female
Enumeration Date 10/17/2012
Last Updated 10/17/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
14286 BEACH BLVD
SUITE 34
JACKSONVILLE FL, 32250-1561, US
Phone (904) 345-7510
Fax (904) 345-7540
Business Location
3599 UNIVERSITY BLVD S
JACKSONVILLE FL, 32216-4252, US
Phone (904) 345-7324
Fax
Toxanomy
Taxonomy Code 225100000X
License State Florida
License Number PTT27736
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According to our database, Miss Thea Grace Tani DPT NPI is 1225381122, taxonomy code is 225100000X and license number is PTT27736, license state is located at Florida. Thea Grace Tani DPT physically located at 14286 Beach Blvd, Jacksonville FL, 32250-1561. NPI Number Thea Grace Tani DPT has the Individual type.

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1225381122 NPI number is provided on an as is basis without warranty of any kind. 1225381122 is maintained by the National Plan & Provider Enumeration System. The contents of Thea Grace Tani DPT are for informational purposes only.