Provider Demographics
NPI:1679990709
Name:CALDERONI, DANA MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:DANA
Middle Name:MARIE
Last Name:CALDERONI
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 RUTGERS AVE
Mailing Address - Street 2:
Mailing Address - City:SWARTHMORE
Mailing Address - State:PA
Mailing Address - Zip Code:19081-2436
Mailing Address - Country:US
Mailing Address - Phone:610-543-8089
Mailing Address - Fax:610-328-1745
Practice Address - Street 1:401 RUTGERS AVE
Practice Address - Street 2:
Practice Address - City:SWARTHMORE
Practice Address - State:PA
Practice Address - Zip Code:19081-2436
Practice Address - Country:US
Practice Address - Phone:610-543-8089
Practice Address - Fax:610-328-1745
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-26
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT022945225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist