Provider Demographics
NPI:1669031779
Name:EXCEL PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:EXCEL PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:M ROSANNA N
Authorized Official - Middle Name:O
Authorized Official - Last Name:BADILLO-SANCHEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-310-2448
Mailing Address - Street 1:487 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3572
Mailing Address - Country:US
Mailing Address - Phone:302-310-2448
Mailing Address - Fax:
Practice Address - Street 1:487 S QUEEN ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3572
Practice Address - Country:US
Practice Address - Phone:302-310-2448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-12
Last Update Date:2019-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty