Provider Demographics
NPI:1730374133
Name:RONDINONE, TAMBI ANN (PT)
Entity type:Individual
Prefix:
First Name:TAMBI
Middle Name:ANN
Last Name:RONDINONE
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 1:9602 W EDENBURG PL
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-8546
Mailing Address - Country:US
Mailing Address - Phone:720-379-8404
Mailing Address - Fax:
Practice Address - Street 1:2168 S BIRCH ST
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-5018
Practice Address - Country:US
Practice Address - Phone:303-758-2277
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-09
Last Update Date:2015-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0010233225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist