Individual
J MATTHEW HANLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, CERT, MDT
Contact information
Practice address
5307 LIMESTONE RD, SUITE 203, WILMINGTON, DE 19808-1268
(302) 234-8170
(302) 234-8174
Mailing address
5307 LIMESTONE ROAD, SUITE 203, WILMINGTON, DE 19808
(302) 234-8170
(302) 234-8174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10000534
DE
225100000X
Physical Therapist
PT0052927L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000037609
—
DE
01
—
5707453
AETNA PROVIDER ID
DE
01
—
S53652
BCBS PROVIDER ID
DE
Enumeration date
05/31/2005
Last updated
09/30/2015
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