Hanson, Tina R

Hanson, Tina R is an individual health care provider with primary practice located at 150 Avenue B Se , Winter Haven FL 33880-3037. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Hanson, Tina R can be contacted via phone (863) 294-1429.

Contact Information

Primary practice address
150 Avenue B Se Winter Haven FL 33880-3037
Phone: (863) 294-1429
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT18267 Florida

Profile Details

NPI number 1689856502
LBN Legal business name Hanson, Tina R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 3rd, 2007
Last updated Dec 3rd, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689856502 NPPES
Florida MEDICAID PT18267

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