Provider Demographics
NPI:1669752895
Name:DAEE RIEMITIS, NADIA (DPT)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:DAEE RIEMITIS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 E STATE ST
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-3109
Mailing Address - Country:US
Mailing Address - Phone:973-897-7123
Mailing Address - Fax:973-657-8999
Practice Address - Street 1:51 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOONTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:07005-8740
Practice Address - Country:US
Practice Address - Phone:973-754-4801
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA19600225100000X
NJ40QA01555800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist