Organization
INTEGRATIVE PHYSICAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM CIOLKOSZ (OWNER)
(302) 220-0064
Entity
Organization
Contact information
Practice address
3105 LIMESTONE RD STE 303, WILMINGTON, DE 19808-2156
(302) 220-0064
Mailing address
3105 LIMESTONE RD STE 303, WILMINGTON, DE 19808-2156
(302) 220-0064
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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