Provider Demographics
NPI:1912548777
Name:BISHOP, DALE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:DALE
Middle Name:
Last Name:BISHOP
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3981 GERMANIA ST
Mailing Address - Street 2:APT1
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3546
Mailing Address - Country:US
Mailing Address - Phone:859-609-1795
Mailing Address - Fax:
Practice Address - Street 1:3981 GERMANIA ST APT 1
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3546
Practice Address - Country:US
Practice Address - Phone:859-609-1795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-03
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist