National Provider Identifier
Tina A. Wilston, PTA
Tina A. Wilston, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Elmira, NY and a listed phone number of (607) 733-6541.
Profile Overview
- NPI
- 1336206564
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- January 03, 2007
- Last Updated
- July 08, 2007
Practice Location
- 555 E Market St
- Elmira, NY 14901-3223
Phone: (607) 733-6541
Mailing Address
- 2997 Kelleytown RD
- Mansfield, PA 16933-9631
Specialties
- Physical Therapy Assistant (225200000X)
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1336206564
- Entity Type
- Individual
- Last Name
- Wilston
- First Name
- Tina
- Middle Name
- A.
- Credential
- PTA
- Mailing Street Address
- 2997 Kelleytown RD
- Mailing City
- Mansfield
- Mailing State
- PA
- Mailing ZIP Code
- 16933-9631
- Mailing Country
- US
- Practice Street Address
- 555 E Market St
- Practice City
- Elmira
- Practice State
- NY
- Practice ZIP Code
- 14901-3223
- Practice Country
- US
- Practice Phone
- (607) 733-6541
- Enumeration Date
- January 03, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X), Physical Therapy Assistant (225200000X)