Provider Demographics
NPI:1588972632
Name:HEMMING, ROBERT DAVID (PTA)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:DAVID
Last Name:HEMMING
Suffix:
Gender:M
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52 CHURCH ST
Mailing Address - Street 2:
Mailing Address - City:CORTLAND
Mailing Address - State:NY
Mailing Address - Zip Code:13045-3008
Mailing Address - Country:US
Mailing Address - Phone:607-423-3073
Mailing Address - Fax:
Practice Address - Street 1:52 CHURCH ST
Practice Address - Street 2:
Practice Address - City:CORTLAND
Practice Address - State:NY
Practice Address - Zip Code:13045-3008
Practice Address - Country:US
Practice Address - Phone:607-423-3073
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant