Individual
MS. DEEPALI RAMESH HAZARIWALA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
RT 24 BACK BAY FARM RD, LONG NECK, DE 19966
(302) 947-9662
(302) 947-9692
Mailing address
136 CHESTNUT XING DR, NEWARK, DE 19713-2672
(302) 738-9186
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
J2-0000643
DE
225200000X
Physical Therapy Assistant
TE007591
PA
Other
Enumeration date
05/27/2006
Last updated
07/08/2007
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