Provider Demographics
NPI:1174875405
Name:DINGER, LINDA ANN COFFILL (PT 003534)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:ANN COFFILL
Last Name:DINGER
Suffix:
Gender:F
Credentials:PT 003534
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5695 WERK RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-5056
Mailing Address - Country:US
Mailing Address - Phone:513-451-0191
Mailing Address - Fax:
Practice Address - Street 1:2373 HARRISON AVE.
Practice Address - Street 2:JUDSON CARE CENTER
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45211
Practice Address - Country:US
Practice Address - Phone:513-662-5880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2012-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT 003534225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist