Individual
MRS. MARIANNE GRACE TADIQUE ALFONSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
505 GREENBANK RD, WILMINGTON, DE 19808-3164
(302) 998-0101
Mailing address
115 W RUTHERFORD DR, NEWARK, DE 19713-2026
(302) 588-6877
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002698
DE
Other
Enumeration date
10/19/2011
Last updated
05/30/2018
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