Individual
MS. KATHLEEN FORREST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
3411 SILVERSIDE RD, SPRINGER BLDG SUITE 105, WILMINGTON, DE 19810-4812
(302) 478-5240
(302) 478-2594
Mailing address
413 CLEVELAND AVE, NEWPORT, DE 19804-3020
(302) 478-5240
(302) 478-2594
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
J20000173
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G00716
—
DE
Enumeration date
11/12/2013
Last updated
11/12/2013
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