Provider Demographics
NPI:1053091736
Name:AUPONT, TATIANA ELIPHETE KATHLEEN (DPT)
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:ELIPHETE KATHLEEN
Last Name:AUPONT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:790 REMINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:BOLINGBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60440-4909
Mailing Address - Country:US
Mailing Address - Phone:866-370-8206
Mailing Address - Fax:517-435-3670
Practice Address - Street 1:10060 DARNESTOWN RD
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3313
Practice Address - Country:US
Practice Address - Phone:240-238-0403
Practice Address - Fax:240-883-6115
Is Sole Proprietor?:No
Enumeration Date:2023-07-19
Last Update Date:2023-07-26
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist