Individual
DELIA ISTRATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1004 10TH ST, PORT ROYAL, SC 29935-2310
(843) 310-9690
(800) 317-9690
Mailing address
1004 10TH ST, PORT ROYAL, SC 29935-2310
(843) 310-9690
(800) 317-9690
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
8699
SC
Other
Enumeration date
10/09/2017
Last updated
10/09/2017
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