Tatum Fontana in Cranston - Physical Therapy Assistant
Tatum Fontana - NPI 1417904061
Tatum Fontana is a Physical Therapy Assistant in Cranston, Rhode Island. Tatum Fontana practices all healthcare services and medical treatments related to Physical Therapy Assistant. The NPI Number for Tatum Fontana is 1417904061. The last update date is 2007-07-08.
Tatum Fontana's current location address is 721 Reservoir Ave, Cranston, Rhode Island. You can contact this provider via phone number 4019464250 and fax number 4012755645. The mailing address for Tatum Fontana is 721 Reservoir Ave, Cranston, Rhode Island. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tatum Fontana |
|---|---|
| Address | 721 Reservoir Ave, Cranston, Rhode Island |
| Phone Number | 4019464250 |
| Fax Number | 4012755645 |
| Sole Proprietor | X |
| Credentials | PTA |
NPI Number Detail
| NPI Number | 1417904061 |
|---|---|
| Provider Enumeration Date | 2006-05-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 721 Reservoir Ave |
|---|---|
| City | Cranston |
| State | Rhode Island (RI) |
| Post Code | 29104430 |
| Phone Number | 4019464250 |
| Fax Number | 4012755645 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy Assistant |
|---|---|
| Taxonomy | 225200000X |
| Licence No | PTA00565 |
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Definition: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Post |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PTA00565 | RI | RHODE ISLAND PTA LICENSE |
Post Comment/ Review Below
What is the unique provider identifier assigned to Tatum Fontana?
The Tatum Fontana has been issued the NPI (National Provider Identifier) 1417904061 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Tatum Fontana is located?
The Tatum Fontana is situated at the following address: 721 Reservoir Ave, Cranston, RI, 29104430.
What is the area of specialization for Tatum Fontana, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Tatum Fontana is Physical Therapy Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 225200000X.
When did the Tatum Fontana receive its 1417904061?
The Tatum Fontana was issued its 1417904061 on 2006-05-28, which is the date when the organization was assigned this unique identifier.
As of what date was the information pertaining to Tatum Fontana, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Tatum Fontana, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH