Provider Demographics
NPI:1427419142
Name:FIRKO, DEBORAH (MSPT)
Entity Type:Individual
Prefix:
First Name:DEBORAH
Middle Name:
Last Name:FIRKO
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 SHREWSBURY DR
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-1400
Mailing Address - Country:US
Mailing Address - Phone:302-475-5215
Mailing Address - Fax:
Practice Address - Street 1:105 SHREWSBURY DR
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19810-1400
Practice Address - Country:US
Practice Address - Phone:302-475-5215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-08
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0001660225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist