Individual
MR. WORSDELL K PEARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002410
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1558591958
DPCI
DE
05
—
1558591958
—
DE
01
—
296497
UNISON
—
01
—
3784768000
IBC
DE
01
—
P00885368
RAILROAD MEDICARE
DE
Enumeration date
07/20/2009
Last updated
02/28/2011
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