Provider Demographics
NPI:1295122950
Name:FRANQUI, TATTIANA (PT)
Entity type:Individual
Prefix:
First Name:TATTIANA
Middle Name:
Last Name:FRANQUI
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:TATTIANA
Other - Middle Name:
Other - Last Name:ARANGO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:1224 WINDING WILLOW CT
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34746-6742
Mailing Address - Country:US
Mailing Address - Phone:850-691-7074
Mailing Address - Fax:
Practice Address - Street 1:1224 WINDING WILLOW CT
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34746-6742
Practice Address - Country:US
Practice Address - Phone:850-691-7074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-04-21
Last Update Date:2015-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL27029225100000X
TX1204310225100000X
MA20132225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist