Provider Demographics
NPI:1437212883
Name:COLINA-CORREA, ANA CRISTINA (PT)
Entity Type:Individual
Prefix:MRS
First Name:ANA
Middle Name:CRISTINA
Last Name:COLINA-CORREA
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 1:6135 SE WINDSONG LN
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997-8226
Mailing Address - Country:US
Mailing Address - Phone:772-283-4407
Mailing Address - Fax:772-287-7015
Practice Address - Street 1:6135 SE WINDSONG LN
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-8226
Practice Address - Country:US
Practice Address - Phone:772-283-4407
Practice Address - Fax:772-287-7015
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT9798225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL650026033OtherRAILROAD MEDICARE
FL650026033OtherRAILROAD MEDICARE