| Doctor Name: | RICHARD ANTHONY REDENBO |
| NPI Number: | 1205042538 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | RPT |
| License Number: | PT0006193 |
| Business Practice Address: | 6000 49th St N Saint Petersburg, FL - 337092114 |
| Business Phone Number: | 7275215031 |
| Business Fax Number: | |
| Mailing Address: | 9931 53rd Ave N, SAINT PETERSBURG |
| State: | FL |
| Postal Code: | 337083603 |
| Phone Number: | 7273934071 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT0006193 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |