Healthcare Provider Details

I. General information

NPI: 1831481803
Provider Name (Legal Business Name): TONYA RENEE' SINGER P.T.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TONYA RENEE' LESTER P.T.A.

II. Dates (important events)

Enumeration Date: 05/10/2011
Last Update Date: 05/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2626 GOODLETTE RD N
NAPLES FL
34103-4526
US

IV. Provider business mailing address

2626 GOODLETTE RD N
NAPLES FL
34103-4526
US

V. Phone/Fax

Practice location:
  • Phone: 239-262-3814
  • Fax: 239-262-5687
Mailing address:
  • Phone: 239-262-3814
  • Fax: 239-262-5687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number22372
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number000136
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: