Individual
ASHLEY MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
642 S QUEEN ST STE 101, DOVER, DE 19904-3506
(302) 724-6344
(302) 449-2047
Mailing address
1050 INDUSTRIAL DR STE 210, MIDDLETOWN, DE 19709-2803
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0003291
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01461952
MEDICARE RR
DE
Enumeration date
02/17/2015
Last updated
09/09/2020
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