Provider Demographics
NPI:1083004303
Name:FINGERMAN, JOSHUA (PT)
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:
Last Name:FINGERMAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5646 INTERLACHEN CIR
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55436-1332
Mailing Address - Country:US
Mailing Address - Phone:917-545-8454
Mailing Address - Fax:
Practice Address - Street 1:5646 INTERLACHEN CIR
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55436-1332
Practice Address - Country:US
Practice Address - Phone:917-545-8454
Practice Address - Fax:855-932-4833
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT30031225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist