Individual
MISS KASEY HUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA, CLT, CCI, OPTA
Contact information
Practice address
20930 DUPONT BLVD UNIT 102, GEORGETOWN, DE 19947-1723
(302) 856-7462
Mailing address
30867 SCOTT LAND RD, LAUREL, DE 19956-2852
(302) 542-8916
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0001016
DE
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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