Provider Demographics
NPI:1043522832
Name:GINADER, DARCY BURKE (MPT)
Entity type:Individual
Prefix:
First Name:DARCY
Middle Name:BURKE
Last Name:GINADER
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:637 COMPASS DR
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-5402
Mailing Address - Country:US
Mailing Address - Phone:814-520-5721
Mailing Address - Fax:
Practice Address - Street 1:1012 W BAYFRONT PKWY
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16507-2324
Practice Address - Country:US
Practice Address - Phone:814-455-1630
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2010-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT013214L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist