Individual
GOKULAWATHANI MAHESWARAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
REGENCY HEALTHCARE AND REHABILITATION CENTER, 801, NORTH BROOM STREET, WILMINGTON, DE 19806
(302) 652-8400
(302) 652-8811
Mailing address
11205 ELAM DR, GLEN MILLS, PA 19342-2356
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003665
DE
225100000X
Physical Therapist
PT027233
PA
Other
Enumeration date
07/18/2017
Last updated
07/01/2019
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