Provider Demographics
NPI:1831481803
Name:SINGER, TONYA RENEE' (PTA)
Entity Type:Individual
Prefix:
First Name:TONYA
Middle Name:RENEE'
Last Name:SINGER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:TONYA
Other - Middle Name:RENEE'
Other - Last Name:LESTER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PTA
Mailing Address - Street 1:2626 GOODLETTE RD N
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34103-4526
Mailing Address - Country:US
Mailing Address - Phone:239-262-3814
Mailing Address - Fax:239-262-5687
Practice Address - Street 1:2626 GOODLETTE RD N
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34103-4526
Practice Address - Country:US
Practice Address - Phone:239-262-3814
Practice Address - Fax:239-262-5687
Is Sole Proprietor?:No
Enumeration Date:2011-05-10
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22372225200000X
WV000136225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant