Individual
LINDA MEDIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3911 N WASHINGTON ST, WILMINGTON, DE 19802-2147
(302) 764-8192
(302) 764-8185
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(803) 812-3656
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002064
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002266222
DPCI
DE
05
—
1053824322
—
DE
01
—
3767398000
AMERIHEALTH
DE
01
—
P00885359
RAILROAD MEDICARE
DE
Enumeration date
05/07/2007
Last updated
12/12/2024
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