Organization
KONLIAN,O'NEILL & ASSOCIATES, P.A.
Active
Other names
Aquacare Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
JANICE BALDWIN (REGIONAL MANAGER OFFICE ADMIN)
(410) 548-7600
Entity
Organization
Contact information
Practice address
20684 JOHN J WILLIAMS HWY STE 2, LEWES, DE 19958-4393
(302) 945-0200
(302) 945-6959
Mailing address
659 S SALISBURY BLVD STE 1B, SALISBURY, MD 21801-5458
(410) 860-5910
(410) 860-5912
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1000035197
—
DE
Enumeration date
07/08/2006
Last updated
06/30/2014
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