Provider Demographics
NPI:1669627527
Name:PINTO, TINA K (PT)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:K
Last Name:PINTO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:155 SPRING HILL DR
Mailing Address - Street 2:STE 206
Mailing Address - City:GRASS VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:95945-5929
Mailing Address - Country:US
Mailing Address - Phone:530-272-7306
Mailing Address - Fax:530-272-7316
Practice Address - Street 1:155 SPRING HILL DR
Practice Address - Street 2:STE 206
Practice Address - City:GRASS VALLEY
Practice Address - State:CA
Practice Address - Zip Code:95945-5929
Practice Address - Country:US
Practice Address - Phone:530-272-7306
Practice Address - Fax:530-272-7316
Is Sole Proprietor?:No
Enumeration Date:2008-11-19
Last Update Date:2014-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA28921225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist