# UNIVERSITY OF DELAWARE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** University of De PT Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679614390
- **Authorized official:** DR. AIRELLE HUNTER PT (DIRECTOR OF CLINICAL SERVICES)
- **Authorized official phone:** (302) 831-2705

## Contact information

- **Practice address:** 540 S COLLEGE AVE STE 160, NEWARK, DE 19713-1302
- **Practice address phone:** (302) 831-8893
- **Practice address fax:** (302) 831-4468
- **Mailing address:** 540 S COLLEGE AVE STE 160, NEWARK, DE 19713-1302
- **Mailing address phone:** (302) 831-8893
- **Mailing address fax:** (302) 831-4468

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | — |
| 261QR0400X | Rehabilitation Clinic/Center | J1-0000851 | DE | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 11/30/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1000035397 | — | DE |