Provider Demographics
NPI:1417373812
Name:KRONOS PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:KRONOS PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:YVONNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CIPRESSI
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:215-740-3891
Mailing Address - Street 1:51 WANOMA CIR
Mailing Address - Street 2:
Mailing Address - City:REHOBOTH BEACH
Mailing Address - State:DE
Mailing Address - Zip Code:19971-7704
Mailing Address - Country:US
Mailing Address - Phone:215-740-3891
Mailing Address - Fax:
Practice Address - Street 1:51 WANOMA CIR
Practice Address - Street 2:
Practice Address - City:REHOBOTH BEACH
Practice Address - State:DE
Practice Address - Zip Code:19971-7704
Practice Address - Country:US
Practice Address - Phone:215-740-3891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-10
Last Update Date:2015-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2012603089225100000X
DEJ10002795251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty