Individual
REGIDOR ADRIANO VERZOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
26396 BAY FARM RD, UNIT 1, MILLSBORO, DE 19966-4993
(302) 947-9662
(302) 947-9692
Mailing address
2 W 10TH ST, MARCUS HOOK, PA 19061-4513
(610) 859-8850
(610) 859-7876
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002290
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518138767
DPCI
DE
05
—
1518138767
—
DE
01
—
252522
UNISON
—
01
—
3780062000
IBC
DE
01
—
P00885367
RAILROAD MEDICARE
DE
Enumeration date
03/17/2008
Last updated
02/28/2011
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