Provider Demographics
NPI:1306050018
Name:SAVOLIDIS, DENISE THERESA (PTA)
Entity type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:THERESA
Last Name:SAVOLIDIS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9036 SHENANDOAH RUN
Mailing Address - Street 2:
Mailing Address - City:WESLEY CHAPEL
Mailing Address - State:FL
Mailing Address - Zip Code:33544-5454
Mailing Address - Country:US
Mailing Address - Phone:813-994-8594
Mailing Address - Fax:
Practice Address - Street 1:1940 BRUCE B DOWNS BLVD
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-9262
Practice Address - Country:US
Practice Address - Phone:813-991-1555
Practice Address - Fax:813-991-1515
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist