Organization
DELAWARE THERAPEUTICS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHUCK FERGUSON LMT (MASSAGE THERAPIST)
(302) 836-6150
Entity
Organization
Contact information
Practice address
12 FOX HUNT DR, BEAR, DE 19701-2534
(302) 836-6150
(302) 836-6294
Mailing address
12 FOX HUNT DR, BEAR, DE 19701-2534
(302) 836-6150
(302) 836-6294
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1999201447
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MT-0001046
MASSAGE THERAPIST LICENSE
DE
Enumeration date
05/16/2007
Last updated
08/22/2020
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