Provider Demographics
NPI:1033648019
Name:PERKINS, PAMELA (OTRL)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:PERKINS
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:
Other - Last Name:LIND
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTRL
Mailing Address - Street 1:15 WINTERBURY CIR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19808-1429
Mailing Address - Country:US
Mailing Address - Phone:302-388-1148
Mailing Address - Fax:
Practice Address - Street 1:5651 LIMESTONE RD
Practice Address - Street 2:MANOR CARE
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19808
Practice Address - Country:US
Practice Address - Phone:302-239-8583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-05
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU1-0001353225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation