Provider Demographics
NPI:1073544383
Name:REMETTA, KIMBERLY DORSEY (PT)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:DORSEY
Last Name:REMETTA
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 1:2880 HORSESHOE PIKE
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-9039
Mailing Address - Country:US
Mailing Address - Phone:717-838-2231
Mailing Address - Fax:
Practice Address - Street 1:2880 HORSESHOE PIKE
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-9039
Practice Address - Country:US
Practice Address - Phone:717-838-2231
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2014-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013077-L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist