Provider Demographics
NPI:1639112196
Name:SANTINI, CELIA M (PTA)
Entity Type:Individual
Prefix:MISS
First Name:CELIA
Middle Name:M
Last Name:SANTINI
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2249 SAW PALMETTO LN
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32825-4649
Mailing Address - Country:US
Mailing Address - Phone:407-432-1179
Mailing Address - Fax:
Practice Address - Street 1:2249 SAW PALMETTO LN
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32825-4649
Practice Address - Country:US
Practice Address - Phone:407-432-1179
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYNY 001310-1225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant