Individual
KATHERINE ELIZABETH KAUKEINEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 733-1000
Mailing address
39 HAWTHORNE AVE, NEWARK, DE 19711-5560
(917) 742-5171
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0014346
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
J1-0014346
PHYSICAL THERAPY LICENSE
DE
Enumeration date
03/23/2021
Last updated
03/23/2021
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