NPI 1184854929

Lakeside Physical Therapy, LLC

Organisation Rehabilitation Practitioner Laurel, DE

Practice location

Address: 404 E Front St, Laurel, DE 19956-1741
Phone: (302) 280-6920
Fax: (302) 280-6921

Authorised official

Name: Metodio Amahit Pamplona
Title: Owner
Phone: (302) 280-6920

Registered specialties (2)

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X

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Physical Therapy Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QP2000X Licence 2009603216 (DE)

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Registry record

NPI: 1184854929
Entity type: Organization
NPI issued: 14 Jul 2009
Record last updated: 28 Apr 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.