Organization
SOUTHERN DELAWARE SPORTS CARE AND REHABILITATION, LLC
Active
Other names
Professional Physical Therapy and Sports Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELE YOVIENE P.T. (PHYSICAL THERAPIST)
(410) 829-5647
Entity
Organization
Contact information
Practice address
1310 MIDDLEFORD RD, SUITE 101, SEAFORD, DE 19973-3670
(302) 629-5700
(302) 629-6001
Mailing address
28577 MARYS CT, SUITE 5, EASTON, MD 21601-7499
(410) 885-4970
(410) 885-4669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000023483
—
DE
01
—
568A
CAREFIRST
MD
01
—
K752
BLUECHOICE
DC
Enumeration date
01/25/2007
Last updated
08/13/2014
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