Provider Demographics
NPI:1043869324
Name:SAINT ONGE, TONYA (LPTA)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:
Last Name:SAINT ONGE
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:408 GARDENIA AVE
Mailing Address - Street 2:
Mailing Address - City:ROYAL OAK
Mailing Address - State:MI
Mailing Address - Zip Code:48067-3647
Mailing Address - Country:US
Mailing Address - Phone:989-430-3212
Mailing Address - Fax:
Practice Address - Street 1:APPLEWOOD NURSING CENTER
Practice Address - Street 2:18500 VAN HORN RD.
Practice Address - City:WOODHAVEN
Practice Address - State:MI
Practice Address - Zip Code:48183
Practice Address - Country:US
Practice Address - Phone:734-676-7575
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-09
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5502005722225200000X
FLPTA31776225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant