Provider Demographics
NPI:1609016013
Name:TENDOY, MA. CHRISTINA EVARDONE (PT)
Entity Type:Individual
Prefix:MS
First Name:MA. CHRISTINA
Middle Name:EVARDONE
Last Name:TENDOY
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 1:6325 N JASPER TER
Mailing Address - Street 2:
Mailing Address - City:CRYSTAL RIVER
Mailing Address - State:FL
Mailing Address - Zip Code:34428-2809
Mailing Address - Country:US
Mailing Address - Phone:410-300-9279
Mailing Address - Fax:
Practice Address - Street 1:3290 NORTH RIDGE ROAD
Practice Address - Street 2:SUITE 290
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043
Practice Address - Country:US
Practice Address - Phone:703-435-5110
Practice Address - Fax:410-750-0787
Is Sole Proprietor?:No
Enumeration Date:2009-02-25
Last Update Date:2010-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24573225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist