Provider Demographics
NPI:1578890489
Name:NEWSOME, DENISE B (PT)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:B
Last Name:NEWSOME
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 1:232 KATONAH AVENUE
Mailing Address - Street 2:
Mailing Address - City:KATONAH
Mailing Address - State:NY
Mailing Address - Zip Code:10536-2110
Mailing Address - Country:US
Mailing Address - Phone:914-232-1480
Mailing Address - Fax:
Practice Address - Street 1:232 KATONAH AVENUE
Practice Address - Street 2:
Practice Address - City:KATONAH
Practice Address - State:NY
Practice Address - Zip Code:10536-2110
Practice Address - Country:US
Practice Address - Phone:914-232-1480
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2009-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015876225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist