Provider Demographics
NPI:1215480819
Name:GIRLING, FAYEH RINA TABADA (PT, CKTP)
Entity type:Individual
Prefix:MRS
First Name:FAYEH RINA
Middle Name:TABADA
Last Name:GIRLING
Suffix:
Gender:F
Credentials:PT, CKTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4098 SW 47TH CT
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34474-9210
Mailing Address - Country:US
Mailing Address - Phone:901-246-6929
Mailing Address - Fax:
Practice Address - Street 1:4098 SW 47TH CT
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34474-9210
Practice Address - Country:US
Practice Address - Phone:901-246-6929
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-29
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT24001225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist