Provider Demographics
NPI:1629141346
Name:CHLEBINA, LINDA MARGARET (PT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:MARGARET
Last Name:CHLEBINA
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 1:1037 US HIGHWAY 41 BYP S
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:FL
Mailing Address - Zip Code:34285-4343
Mailing Address - Country:US
Mailing Address - Phone:941-486-0590
Mailing Address - Fax:941-486-0592
Practice Address - Street 1:1037 US 41 BYPASS S
Practice Address - Street 2:
Practice Address - City:VENICE
Practice Address - State:FL
Practice Address - Zip Code:34285-4343
Practice Address - Country:US
Practice Address - Phone:941-486-0590
Practice Address - Fax:941-486-0592
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT12818225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY7671OtherBCBS
FLY7671OtherBCBS