Organization
TICE PEDIATRIC PHYSICAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDSAY TICE PT, DPT (OWNER)
(130) 259-8894
Entity
Organization
Contact information
Practice address
2118 VALLEY AVE, WILMINGTON, DE 19810-2539
(130) 259-8894
Mailing address
2118 VALLEY AVE, WILMINGTON, DE 19810-2539
(130) 259-8894
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
02/05/2022
Last updated
02/05/2022
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