Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225200000X | Physical Therapy Assistant | TE1000946 | PA |
NPI | 1013307164 |
---|---|
Provider Name | Kimberly Dempsey |
First Address | New Castle, PA 16105-1168 |
Second Address | New Castle, PA 16105-1168 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/01/2015 |
Last Update Date | 28/01/2015 |