Organization
PHYSICAL THERAPY, CORP.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAUN MOORE PT (OWNER)
(302) 654-8142
Entity
Organization
Contact information
Practice address
701 FOULK RD STE 2D, WILMINGTON, DE 19803-3733
(302) 654-8142
(302) 654-8143
Mailing address
12 PELHAM RD, WILMINGTON, DE 19803-4133
(302) 654-8142
(302) 654-8143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
08/15/2022
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