NPI 1295781243

Jamie Shannon Soutar, PTA

Practitioner Physical Therapy Assistant Newark, DE

Practice location

Address: 130 Executive Dr, Newark, DE 19702-3349
Phone: (302) 292-3454
Fax: (302) 292-3464
Mailing address: 203 Tinsley CT, Newark, DE 19702-2819

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence J2-0000488 (DE)

Other Physical Therapy Assistant providers in Delaware →

Registry record

NPI: 1295781243
Entity type: Individual
Sex (as registered): Male
NPI issued: 25 May 2006
Record last updated: 8 Jul 2007

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.