Provider Demographics
NPI:1649484437
Name:DUGAN, TINA ARMSTRONG (PT)
Entity type:Individual
Prefix:MRS
First Name:TINA
Middle Name:ARMSTRONG
Last Name:DUGAN
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 1:274 GOLFVIEW DR
Mailing Address - Street 2:
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469-1942
Mailing Address - Country:US
Mailing Address - Phone:561-746-2500
Mailing Address - Fax:
Practice Address - Street 1:3801 PGA BLVD STE 505
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33410-2759
Practice Address - Country:US
Practice Address - Phone:561-776-8584
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL7350225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist