Provider Demographics
NPI:1275136160
Name:SIGMAN, TONIA (PTA)
Entity Type:Individual
Prefix:
First Name:TONIA
Middle Name:
Last Name:SIGMAN
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:TONIA
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:108 W APPLE ST
Mailing Address - Street 2:
Mailing Address - City:FREEBURG
Mailing Address - State:IL
Mailing Address - Zip Code:62243-1470
Mailing Address - Country:US
Mailing Address - Phone:912-481-1864
Mailing Address - Fax:
Practice Address - Street 1:108 W APPLE ST
Practice Address - Street 2:
Practice Address - City:FREEBURG
Practice Address - State:IL
Practice Address - Zip Code:62243-1470
Practice Address - Country:US
Practice Address - Phone:912-481-1864
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL160.008866225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant