Provider Demographics
NPI:1912429507
Name:GIANNINI, GIOVANNA MARIE (LAT, ATC)
Entity Type:Individual
Prefix:
First Name:GIOVANNA
Middle Name:MARIE
Last Name:GIANNINI
Suffix:
Gender:F
Credentials:LAT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4708 SWEETMEADOW CIR
Mailing Address - Street 2:
Mailing Address - City:SARASOTA
Mailing Address - State:FL
Mailing Address - Zip Code:34238-3396
Mailing Address - Country:US
Mailing Address - Phone:941-350-2775
Mailing Address - Fax:
Practice Address - Street 1:4708 SWEETMEADOW CIR
Practice Address - Street 2:
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34238-3396
Practice Address - Country:US
Practice Address - Phone:941-350-2775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-14
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL46802255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer