Provider Demographics
NPI:1407186778
Name:DOSCH, AIMEE MARIE (PT)
Entity Type:Individual
Prefix:
First Name:AIMEE
Middle Name:MARIE
Last Name:DOSCH
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 1:64 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-4429
Mailing Address - Country:US
Mailing Address - Phone:800-278-0332
Mailing Address - Fax:
Practice Address - Street 1:JUNTION RT. 264 AND 191
Practice Address - Street 2:SAGE MEMORIAL HOSPITAL
Practice Address - City:GANADO
Practice Address - State:AZ
Practice Address - Zip Code:86505
Practice Address - Country:US
Practice Address - Phone:928-755-4566
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-08
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014288225100000X
AZ8655225100000X
NCP5277225100000X
TX1184583225100000X
NM3623225100000X
NH3477225100000X
ME3536225100000X
OR6080225100000X
SC6045225100000X
GAPT009752225100000X
VT040.0057964225100000X
CA36093225100000X
WA60112633225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist