Provider Demographics
NPI:1427159557
Name:DINGLE, AIMEE E (PT)
Entity type:Individual
Prefix:
First Name:AIMEE
Middle Name:E
Last Name:DINGLE
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 1:78 RAINTREE IS
Mailing Address - Street 2:APARTMENT 5
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-9539
Mailing Address - Country:US
Mailing Address - Phone:716-200-8324
Mailing Address - Fax:
Practice Address - Street 1:462 GRIDER ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14215-3021
Practice Address - Country:US
Practice Address - Phone:716-898-3949
Practice Address - Fax:716-898-3259
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY028638225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist