Provider Demographics
NPI:1780932442
Name:DALRYMPLE, CAROLINE A (PT)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:A
Last Name:DALRYMPLE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LIBBY
Other - Middle Name:
Other - Last Name:DALRYMPLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:215 SUGARTOWN RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:PA
Mailing Address - Zip Code:19087-3137
Mailing Address - Country:US
Mailing Address - Phone:484-582-0660
Mailing Address - Fax:
Practice Address - Street 1:215 SUGARTOWN RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:PA
Practice Address - Zip Code:19087-3137
Practice Address - Country:US
Practice Address - Phone:484-582-0660
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-08-28
Last Update Date:2012-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT002582E2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic