Provider Demographics
NPI:1679775035
Name:PLIMPTON, DOREEN ADAMS (PTA)
Entity Type:Individual
Prefix:MRS
First Name:DOREEN
Middle Name:ADAMS
Last Name:PLIMPTON
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:MISS
Other - First Name:DOREEN
Other - Middle Name:ADAMS
Other - Last Name:FLORENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:26 SUNSHINE DR
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NH
Mailing Address - Zip Code:03220-3142
Mailing Address - Country:US
Mailing Address - Phone:603-524-2432
Mailing Address - Fax:
Practice Address - Street 1:7540 N. 19TH AVE.
Practice Address - Street 2:SYNERTX
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021
Practice Address - Country:US
Practice Address - Phone:888-873-4221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0231225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant