Southern Delaware Sportscare and Rehabilitation, LLC

NPI #1508312596 in Smyrna, Delaware

Provider Information

NPI Number: 1508312596
Entity Type: Organization
Organization Name: Southern Delaware Sportscare and Rehabilitation, LLC
Primary Specialty: Physical Therapist
Enumeration Date: Aug 30, 2016
Last Updated: Aug 30, 2016

Practice Location

Address: 207 STADIUM ST
City: Smyrna
State: Delaware
ZIP Code: 19977-2899
Phone: (302) 659-0173

Authorized Official

Name: HARRIS THOMPSON
Title: CEO
Phone: (410) 885-6371

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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