Provider Demographics
NPI:1164845798
Name:DINKELAKER, TERRI (PT)
Entity Type:Individual
Prefix:MRS
First Name:TERRI
Middle Name:
Last Name:DINKELAKER
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 1:200 S KEOWEE ST
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45402-2242
Mailing Address - Country:US
Mailing Address - Phone:937-225-4598
Mailing Address - Fax:
Practice Address - Street 1:200 S. KEOWE ST
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45402-2854
Practice Address - Country:US
Practice Address - Phone:937-225-4598
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-03
Last Update Date:2016-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-006258174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist