Provider Demographics
NPI:1942591102
Name:ROMANO, TANIA JOY (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:TANIA
Middle Name:JOY
Last Name:ROMANO
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4513 FOREST COVE RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-8734
Mailing Address - Country:US
Mailing Address - Phone:704-829-0377
Mailing Address - Fax:
Practice Address - Street 1:4513 FOREST COVE RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-8734
Practice Address - Country:US
Practice Address - Phone:704-829-0377
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-22
Last Update Date:2011-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2316225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant