Healthcare Provider Details

I. General information

NPI: 1346994035
Provider Name (Legal Business Name): CHRISTINE TSANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2022
Last Update Date: 02/10/2022
Certification Date: 02/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2520 N ORANGE AVE
ORLANDO FL
32804-4638
US

IV. Provider business mailing address

1538 DERBY GLEN DR
ORLANDO FL
32837-8174
US

V. Phone/Fax

Practice location:
  • Phone: 407-303-8280
  • Fax:
Mailing address:
  • Phone: 407-232-1418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA27735
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: