Provider Demographics
NPI:1912150095
Name:TORMA, PATRICIA ANTOINETTE (PTA)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ANTOINETTE
Last Name:TORMA
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3186 BURBERRY ST
Mailing Address - Street 2:
Mailing Address - City:TARPON SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34688-7258
Mailing Address - Country:US
Mailing Address - Phone:727-940-4013
Mailing Address - Fax:
Practice Address - Street 1:3186 BURBERRY ST
Practice Address - Street 2:
Practice Address - City:TARPON SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34688-7258
Practice Address - Country:US
Practice Address - Phone:727-940-4013
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-03
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA18636225200000X
IL160-004428225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant