Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | U1-0001353 | DE |
NPI | 1033648019 |
---|---|
Provider Name | Pamela Perkins |
First Address | Wilmington, DE 19808-1429 |
Second Address | Wilmington, DE 19808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/06/2017 |
Last Update Date | 16/06/2018 |