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Contact Information

CYNTHIA TINE, PTA
628 CONGDON STREET
MIDDLETOWN, CT06457
 Phone: 860-347-7144
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for CYNTHIA TINE · (Female)

NPI # 1902324536
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 09/04/2017
Last updated 09/04/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • CT License # 000568
  • CT Other 000568 CONNECTICUT LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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