Individual
MARYANN KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
100 S MAIN ST STE 300, SMYRNA, DE 19977-1495
(302) 389-7855
Mailing address
1050 INDUSTRIAL DR STE 210, MIDDLETOWN, DE 19709-2803
(302) 389-7855
(302) 449-2047
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003329
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D000029502
—
DE
Enumeration date
02/05/2016
Last updated
10/29/2021
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