Provider Demographics
NPI:1013041862
Name:PERNY, MEREDITH HERSHEY (DPT)
Entity Type:Individual
Prefix:DR
First Name:MEREDITH
Middle Name:HERSHEY
Last Name:PERNY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 ROCKFORD RD
Mailing Address - Street 2:SUITE11B
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-1047
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:62 ROCKFORD RD
Practice Address - Street 2:SUITE11B
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-1047
Practice Address - Country:US
Practice Address - Phone:302-429-6252
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2012-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0002196225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist