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NPI Code Detail

MEDICARE: KATHERINE DINGMAN PT, DPT

MEDICARE: KATHERINE DINGMAN PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist2305214379VA

General Provider Information

NPI Number : 1154902039
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE DINGMAN PT, DPT
Provider Business Mailing Address
First Line : 1377 MOTOR PKWY STE 307
Second Line :
City : ISLANDIA
State : NY
Zip : 11749-5258
Country : US
Telephone Number : 914-294-4050
Fax Number : 631-760-8306
Provider Business Practice Location Address
First Line : 1628 LASKIN RD STE 706
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23451-7504
Country : US
Telephone Number : 757-481-0052
Fax Number : 757-481-1099
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2021
Last Update Date : 06/18/2021

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