Provider Demographics
NPI:1891827622
Name:KUIPERS, DAWN PURDY (PT)
Entity Type:Individual
Prefix:MRS
First Name:DAWN
Middle Name:PURDY
Last Name:KUIPERS
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 1:22 SHEEP FARM RD
Mailing Address - Street 2:PO BOX 49
Mailing Address - City:HASKELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07420
Mailing Address - Country:US
Mailing Address - Phone:973-835-1177
Mailing Address - Fax:
Practice Address - Street 1:300 MARKET ST
Practice Address - Street 2:
Practice Address - City:SADDLE BROOK
Practice Address - State:NJ
Practice Address - Zip Code:07663-5309
Practice Address - Country:US
Practice Address - Phone:201-368-6071
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QAOO598900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist