Provider Demographics
NPI:1477700268
Name:PERRONE, KRYSTAL LYNN (DPT)
Entity Type:Individual
Prefix:MISS
First Name:KRYSTAL
Middle Name:LYNN
Last Name:PERRONE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MRS
Other - First Name:KRYSTAL
Other - Middle Name:LYNN
Other - Last Name:MULLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:659 S SALISBURY BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-5453
Mailing Address - Country:US
Mailing Address - Phone:410-831-3226
Mailing Address - Fax:410-572-4041
Practice Address - Street 1:26744 JOHN J WILLIAMS HWY UNIT 6
Practice Address - Street 2:
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966-4667
Practice Address - Country:US
Practice Address - Phone:302-945-4250
Practice Address - Fax:302-945-3190
Is Sole Proprietor?:No
Enumeration Date:2008-08-22
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0002307225100000X
MD24932225100000X, 225100000X
VA2305207046225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist