Individual
TANIA D GARMENDIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1147 SW 7TH TER, CAPE CORAL, FL 33991-2104
(786) 546-9698
Mailing address
1147 SW 7TH TER, CAPE CORAL, FL 33991-2104
(786) 546-9698
Taxonomy
Speciality
Code
Description
License number
State
106E00000X
Assistant Behavior Analyst
Primary
0-20-11347
FL
225200000X
Physical Therapy Assistant
PTA26215
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021785800
—
FL
Enumeration date
03/22/2017
Last updated
03/03/2025
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