Individual
MS. DONNA JEAN VIVALDI
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
2801 LANCASTER AVE, WILMINGTON, DE 19805-5232
(302) 778-0810
(302) 778-0812
Mailing address
2607 NAAMANS RD, WILMINGTON, DE 19810-1136
(302) 475-0362
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000392
DE
225200000X
Physical Therapy Assistant
TE006786L
PA
Other
Enumeration date
05/31/2006
Last updated
07/08/2007
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