Healthcare Provider Details

I. General information

NPI: 1437452042
Provider Name (Legal Business Name): DENYSE ANN CAMIRE PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2010
Last Update Date: 04/15/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 COUNTRY VILLAGE RD
LANCASTER NH
03584-3142
US

IV. Provider business mailing address

2301 LUCIEN WAY STE 325
MAITLAND FL
32751-7020
US

V. Phone/Fax

Practice location:
  • Phone: 603-788-4735
  • Fax: 352-795-6065
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberPTA 21924
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License NumberEL14010
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: