NPI 1093912784

Katina Marie Shockley, PTA

Practitioner Physical Therapy Assistant Wilmington, DE

Practice location

Address: 1707 Foulk Road, Wilmington, DE 19803
Phone: (302) 856-7462
Fax: (302) 856-7463
Mailing address: 2 W 10th St, Marcus Hook, PA 19061-4513

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence J20000544 (DE)

Other Physical Therapy Assistant providers in Delaware →

Registry record

NPI: 1093912784
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2007
Record last updated: 29 Sep 2009

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.