NPI 1174922660

Jessica Smith, PTA

Practitioner Physical Therapy Assistant Newark, DE

Practice location

Address: 4949 Ogletown Stanton Rd, Newark, DE 19713-2068
Phone: (302) 409-3201
Mailing address: 4 Grant Ave, Wilmington, DE 19804-3212

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence J2-0000818 (DE)

Other Physical Therapy Assistant providers in Delaware →

Registry record

NPI: 1174922660
Entity type: Individual
Sex (as registered): Female
NPI issued: 20 Aug 2014
Record last updated: 20 Aug 2014

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.