Provider Demographics
NPI:1407072580
Name:SINGH, DIMPLE (PT)
Entity type:Individual
Prefix:
First Name:DIMPLE
Middle Name:
Last Name:SINGH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 SAND CREEK DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:CHESTERTON
Mailing Address - State:IN
Mailing Address - Zip Code:46304-1589
Mailing Address - Country:US
Mailing Address - Phone:219-926-9779
Mailing Address - Fax:219-926-9889
Practice Address - Street 1:425 SAND CREEK DR
Practice Address - Street 2:SUITE C
Practice Address - City:CHESTERTON
Practice Address - State:IN
Practice Address - Zip Code:46304-1589
Practice Address - Country:US
Practice Address - Phone:219-926-9779
Practice Address - Fax:219-926-9889
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2016-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05007245A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist