Provider Demographics
NPI:1275738932
Name:SPRINGER, RENEE CHRISTINE (PT)
Entity Type:Individual
Prefix:MS
First Name:RENEE
Middle Name:CHRISTINE
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:972 BEARDED OAKS TER
Mailing Address - Street 2:
Mailing Address - City:LONGWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:32779-2364
Mailing Address - Country:US
Mailing Address - Phone:407-637-4578
Mailing Address - Fax:
Practice Address - Street 1:972 BEARDED OAKS TER
Practice Address - Street 2:
Practice Address - City:LONGWOOD
Practice Address - State:FL
Practice Address - Zip Code:32779-2364
Practice Address - Country:US
Practice Address - Phone:407-637-4578
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-20
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080260632251G0304X
FLPT234892251G0304X
WAPT00010379225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist