Provider Demographics
NPI:1306072558
Name:RIFENBURGH, DEIRDRE ANNE (DPT)
Entity type:Individual
Prefix:DR
First Name:DEIRDRE
Middle Name:ANNE
Last Name:RIFENBURGH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 GARDEN AVE
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07109-1771
Mailing Address - Country:US
Mailing Address - Phone:724-309-6121
Mailing Address - Fax:
Practice Address - Street 1:235 FOREST AVE
Practice Address - Street 2:
Practice Address - City:EMERSON
Practice Address - State:NJ
Practice Address - Zip Code:07630-1459
Practice Address - Country:US
Practice Address - Phone:201-262-5539
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2016-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist