Provider Demographics
NPI:1700057049
Name:DENEMA, PHILIP A (DPT, ATC)
Entity type:Individual
Prefix:DR
First Name:PHILIP
Middle Name:A
Last Name:DENEMA
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Gender:M
Credentials:DPT, ATC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:73 NEWTON RD
Mailing Address - Street 2:STE 101
Mailing Address - City:PLAISTOW
Mailing Address - State:NH
Mailing Address - Zip Code:03865-2424
Mailing Address - Country:US
Mailing Address - Phone:978-388-7272
Mailing Address - Fax:978-388-7373
Practice Address - Street 1:9 ETHAN ALLEN HWY
Practice Address - Street 2:2 NORTH AND SOUTH
Practice Address - City:RIDGEFIELD
Practice Address - State:CT
Practice Address - Zip Code:06877-6239
Practice Address - Country:US
Practice Address - Phone:203-493-5056
Practice Address - Fax:203-493-5078
Is Sole Proprietor?:No
Enumeration Date:2008-03-14
Last Update Date:2016-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT008199225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist