Organization
KENT PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PERCIVAL CORPUZ JR. (PROVIDER)
(443) 509-5071
Entity
Organization
Contact information
Practice address
1078 S STATE ST STE 1, DOVER, DE 19901-6925
(443) 509-5071
Mailing address
1078 S STATE ST STE 1, DOVER, DE 19901-6925
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
03/19/2019
Last updated
03/19/2019
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