Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 26911 | FL |
N | 2251S0007X | Physical Therapist - Sports | 26911 | FL |
N | 2251X0800X | Physical Therapist - Orthopedic | 26911 | FL |
NPI | 1225162449 |
---|---|
Provider Name | Dr. Tanya Ruth Quinones-Santiago |
First Address | Winter Springs, FL 32708-6351 |
Second Address | Longwood, FL 32750-7606 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/03/2007 |
Last Update Date | 18/02/2016 |