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:
Health care specialties
Specialty | Code | License # | 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 17 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1689856502 | NPPES |
Florida | MEDICAID | PT18267 |
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