Provider Demographics
NPI:1538156724
Name:TINDER, JAN MARIE (PT)
Entity type:Individual
Prefix:MS
First Name:JAN
Middle Name:MARIE
Last Name:TINDER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6943 COHASSET CIR
Mailing Address - Street 2:
Mailing Address - City:RIVERVIEW
Mailing Address - State:FL
Mailing Address - Zip Code:33569-8314
Mailing Address - Country:US
Mailing Address - Phone:813-672-8848
Mailing Address - Fax:888-842-9653
Practice Address - Street 1:6943 COHASSET CIR
Practice Address - Street 2:
Practice Address - City:RIVERVIEW
Practice Address - State:FL
Practice Address - Zip Code:33569-8314
Practice Address - Country:US
Practice Address - Phone:813-672-8848
Practice Address - Fax:888-842-9653
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL6626225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist