Provider Demographics
NPI:1265013726
Name:DELMARVA HAND & PHYSICAL THERAPY, P.A.
Entity Type:Organization
Organization Name:DELMARVA HAND & PHYSICAL THERAPY, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:410-742-3300
Mailing Address - Street 1:119 W COLLEGE AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-6924
Mailing Address - Country:US
Mailing Address - Phone:410-742-3300
Mailing Address - Fax:
Practice Address - Street 1:119 W COLLEGE AVE STE 205
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-6924
Practice Address - Country:US
Practice Address - Phone:410-742-3300
Practice Address - Fax:443-513-3958
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DELMARVA HAND & PHYSICAL THERAPY, P.A.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-16
Last Update Date:2021-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD783005000Medicaid