Organization
PEDIATRICKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACLYN PETUYA DPT (PHYSICAL THERAPIST AND OWNER)
(302) 540-7006
Entity
Organization
Contact information
Practice address
23 FOREST CREEK DR, HOCKESSIN, DE 19707-2017
(302) 540-7006
Mailing address
23 FOREST CREEK DR, HOCKESSIN, DE 19707-2017
(302) 540-7006
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/18/2021
Last updated
11/18/2021
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