Individual
JASON NGAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 MARSH RD, STORE 505, WILMINGTON, DE 19810-4581
(302) 793-0432
(302) 793-0400
Mailing address
1288 S GOVERNORS AVE, DOVER, DE 19904-4802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10002490
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0349877000
IBC
DE
05
—
1000037720
—
DE
01
—
908121
PA BS
DE
01
—
DF8714
MEDICARE RAILROAD DE
DE
Enumeration date
07/16/2009
Last updated
07/16/2009
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