Provider Demographics
NPI:1275503443
Name:LEMCKE, PATRICIA DENNEHY (PT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:DENNEHY
Last Name:LEMCKE
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 1:601 JURECKO LN
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-8649
Mailing Address - Country:US
Mailing Address - Phone:724-934-1804
Mailing Address - Fax:724-934-1841
Practice Address - Street 1:10441 PERRY HWY
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9292
Practice Address - Country:US
Practice Address - Phone:724-940-4144
Practice Address - Fax:724-940-4148
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAPT005197LOtherSTATE LICENSE