Provider Demographics
NPI:1972596054
Name:DINENNO, BARBARA E (PT)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:E
Last Name:DINENNO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:2 ESSEX CENTER DR
Mailing Address - Street 2:
Mailing Address - City:PEABODY
Mailing Address - State:MA
Mailing Address - Zip Code:01960-2902
Mailing Address - Country:US
Mailing Address - Phone:978-977-4115
Mailing Address - Fax:978-977-4108
Practice Address - Street 1:2 ESSEX CENTER DR
Practice Address - Street 2:
Practice Address - City:PEABODY
Practice Address - State:MA
Practice Address - Zip Code:01960-2902
Practice Address - Country:US
Practice Address - Phone:978-977-4115
Practice Address - Fax:978-977-4108
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-24
Last Update Date:2013-01-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA174532251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic