Tanise Fenelon, DPT
Physical Therapist in Winter Haven, FL. Individual provider (NPI-1).
NPI number1114243458
StatusActive
Last updated in NPPESApr 12, 2010
Details
- NPI
- 1114243458
- Entity type
- Individual (NPI-1)
- Name
- Tanise Fenelon
- Credential
- DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 12, 2010
- Last updated
- Apr 12, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT23791 | FL | Yes |
Practice location
650 N Lake Howard DrWinter Haven, FL 33881-3162
Phone 863-293-4456
Mailing address
650 N Lake Howard DrWinter Haven, FL 33881-3162
Phone 863-293-4456
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All 81 Physical Therapist providers in Winter Haven · All 2,525 providers in Winter Haven
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