Provider Demographics
NPI:1790001238
Name:COONEY, DINA (DPT)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:
Last Name:COONEY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:DINA
Other - Middle Name:
Other - Last Name:DETLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1 MEDICAL PARK
Mailing Address - Street 2:PATIENT ACCOUNTING - CREDENTIALING
Mailing Address - City:WHEELING
Mailing Address - State:WV
Mailing Address - Zip Code:26003-6379
Mailing Address - Country:US
Mailing Address - Phone:304-243-3124
Mailing Address - Fax:304-243-1131
Practice Address - Street 1:WHEELING HOSPITAL PEDIATRIC REHABILITATION
Practice Address - Street 2:210 ANTHONI AVENUE STE. 2
Practice Address - City:WHEELING
Practice Address - State:WV
Practice Address - Zip Code:26003-6403
Practice Address - Country:US
Practice Address - Phone:304-243-8310
Practice Address - Fax:304-243-8430
Is Sole Proprietor?:No
Enumeration Date:2010-04-08
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV0026712251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
WV002671OtherPHYSICAL THERAPIST LICENSE