National Provider Identifier
Deidra Onalee Ettenberger, PTA
Deidra Onalee Ettenberger, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Montour Falls, NY and a listed phone number of (607) 535-7121.
Profile Overview
- NPI
- 1184715229
- Provider Type
- Individual
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- September 27, 2006
- Last Updated
- July 08, 2007
Practice Location
- 220 Steuben St
- Schuyler Hospital
- Montour Falls, NY 14865
Phone: (607) 535-7121
Mailing Address
- 220 Steuben St
- Montour Falls, NY 14865
Specialties
- Physical Therapy Assistant (225200000X)
Full Record
- NPI
- 1184715229
- Entity Type
- Individual
- Last Name
- Ettenberger
- First Name
- Deidra
- Middle Name
- Onalee
- Credential
- PTA
- Mailing Street Address
- 220 Steuben St
- Mailing City
- Montour Falls
- Mailing State
- NY
- Mailing ZIP Code
- 14865
- Mailing Country
- US
- Mailing Phone
- (607) 535-8616
- Mailing Fax
- (607) 210-1965
- Practice Street Address
- 220 Steuben St
- Practice Address Line 2
- Schuyler Hospital
- Practice City
- Montour Falls
- Practice State
- NY
- Practice ZIP Code
- 14865
- Practice Country
- US
- Practice Phone
- (607) 535-7121
- Practice Fax
- (607) 210-1965
- Enumeration Date
- September 27, 2006
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapy Assistant (225200000X)