Provider Demographics
NPI:1659489094
Name:KAMINSKI, DONNA (RPT)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:KAMINSKI
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 STICKNEY TERRACE
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:NH
Mailing Address - Zip Code:03842
Mailing Address - Country:US
Mailing Address - Phone:603-926-3399
Mailing Address - Fax:603-929-2076
Practice Address - Street 1:23 STICKNEY TERRACE
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:NH
Practice Address - Zip Code:03842
Practice Address - Country:US
Practice Address - Phone:603-926-3399
Practice Address - Fax:603-929-2076
Is Sole Proprietor?:No
Enumeration Date:2006-08-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0908225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30001845Medicaid
AA17350OtherHARVARD PILGRIM HLTHCARE
0801270Y0NH01OtherANTHEM
NH30001845Medicaid