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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MITCHELL TANNENBAUM, PT

Active

MITCHELL TANNENBAUM, PT is a Physical Therapy Assistant healthcare provider located in DYER, Indiana. NPI 1467592311 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · DYER, IN

Registration Details

NPI Number
1467592311
Provider Type
Individual
Gender
Male
NPI Issued
Feb 8, 2007 (19.527088258699 yrs)
Last Updated
Nov 23, 2011
License
070002363 (IL)

Practice Information

Address
425 US ROUTE 30
SUITE 320
DYER, IN, 46311
Browse IN providers · Browse ZIP 46311
Phone
2198640290
Fax
2198640376
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in DYER, IN

Name Credential NPI
DOUGLAS HOEKSEMA PT 1871561977
MS. JOANNE T WEAVER PT 1891743282
TARA RAMESH PAI MSPT 1528014859
DANIEL P BENJAMIN PT 1699715615
SIMA K SHAH DPT 1578503744
CORTNEY HOUSMAN PT 1104867720
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.