Provider Demographics
NPI:1013154194
Name:ABRAMS, DENISE MARIE (PT, MA, DPT)
Entity Type:Individual
Prefix:MRS
First Name:DENISE
Middle Name:MARIE
Last Name:ABRAMS
Suffix:
Gender:F
Credentials:PT, MA, DPT
Other - Prefix:PROF
Other - First Name:DENISE
Other - Middle Name:MARIE
Other - Last Name:ABRAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, MA, DPT
Mailing Address - Street 1:1977 MARSHLAND RD
Mailing Address - Street 2:
Mailing Address - City:APALACHIN
Mailing Address - State:NY
Mailing Address - Zip Code:13732-1440
Mailing Address - Country:US
Mailing Address - Phone:607-689-0922
Mailing Address - Fax:607-692-2307
Practice Address - Street 1:1977 MARSHLAND RD
Practice Address - Street 2:
Practice Address - City:APALACHIN
Practice Address - State:NY
Practice Address - Zip Code:13732-1440
Practice Address - Country:US
Practice Address - Phone:607-689-0922
Practice Address - Fax:607-692-2307
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2009-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008478-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist