NPI 1013346030

Kathleen Forrest, PTA

Practitioner Specialist Wilmington, DE

Practice location

Address: 3411 Silverside Rd Springer Bldg Suite 105, Wilmington, DE 19810-4812
Phone: (302) 478-5240
Fax: (302) 478-2594
Mailing address: 413 Cleveland Ave, Newport, DE 19804-3020

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence J20000173 (DE)

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Registry record

NPI: 1013346030
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Nov 2013
Record last updated: 12 Nov 2013

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.