Individual
TANIEKA SHONTRI SINGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
800 WESTWOOD SQ STE D, OVIEDO, FL 32765-8849
(407) 252-4096
Mailing address
178 VENETIAN BAY CIR, SANFORD, FL 32771-7978
(407) 252-4096
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
30202
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
013653800
—
FL
Enumeration date
06/11/2020
Last updated
06/11/2020
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