Provider Demographics
NPI:1891078838
Name:BINDER, THERESA FRANCES (PT)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:FRANCES
Last Name:BINDER
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 1:1800 S TUTTLE AVE
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34239-3112
Mailing Address - Country:US
Mailing Address - Phone:941-953-4202
Mailing Address - Fax:941-953-4239
Practice Address - Street 1:1800 S TUTTLE AVE
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34239-3112
Practice Address - Country:US
Practice Address - Phone:941-953-4202
Practice Address - Fax:941-953-4239
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT3237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT3237OtherLICENSE NUMBER