| Doctor Name: | MR. DOUGLAS JOHN DENNISON |
| NPI Number: | 1528055175 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | |
| Business Practice Address: | 219 Claremont Ave Tamaqua, PA - 182524431 |
| Business Phone Number: | 5706681889 |
| Business Fax Number: | 5706686115 |
| Mailing Address: | 219 Claremont Ave, TAMAQUA |
| State: | PA |
| Postal Code: | 182524431 |
| Phone Number: | 5708895568 |
| Fax Number: | |
| NPI Enumeration Date: | 09/29/2005 |
| NPI Last Update Date: | 04/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |