Provider Demographics
NPI:1386748424
Name:DELL GOLDBERGER, KATHERINE E (DPT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:E
Last Name:DELL GOLDBERGER
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 1:85 MILL PLAIN RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5001
Mailing Address - Country:US
Mailing Address - Phone:203-853-1754
Mailing Address - Fax:203-852-6758
Practice Address - Street 1:1 COLONY PLACE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06851
Practice Address - Country:US
Practice Address - Phone:203-853-1754
Practice Address - Fax:203-852-6758
Is Sole Proprietor?:No
Enumeration Date:2006-09-11
Last Update Date:2016-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007365225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist