Organization
WOODLYN PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL MCKERNAN ESQ (CEO)
(302) 738-4909
Entity
Organization
Contact information
Practice address
1082 OLD CHURCHMANS RD, SUITE 101, NEWARK, DE 19713-2143
(302) 738-4909
(302) 738-4905
Mailing address
1082 OLD CHURCHMANS RD, SUITE 101, NEWARK, DE 19713-2143
(302) 738-4909
(302) 738-4905
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0000806
DE
225100000X
Physical Therapist
J1-0001588
DE
225100000X
Physical Therapist
J1-0002002
DE
Other
Enumeration date
11/20/2007
Last updated
11/20/2007
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