Provider Demographics
NPI:1184859738
Name:DENNIS, DAVID (MS, ATC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:DENNIS
Suffix:
Gender:M
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 UNIVERSITY SQUARE
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16541-6243
Mailing Address - Country:US
Mailing Address - Phone:814-871-7696
Mailing Address - Fax:
Practice Address - Street 1:109 UNIVERSITY SQUARE
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16541-6243
Practice Address - Country:US
Practice Address - Phone:814-871-7696
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-27
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer