Provider Demographics
NPI:1649731027
Name:DELMARVA HAND & PHYSICAL THERAPY, P.A.
Entity type:Organization
Organization Name:DELMARVA HAND & PHYSICAL THERAPY, P.A.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO, PHYSICAL THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:HAMILTON
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, CHT
Authorized Official - Phone:443-783-5697
Mailing Address - Street 1:6901 HAMILTON LN
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:DE
Mailing Address - Zip Code:19940-3183
Mailing Address - Country:US
Mailing Address - Phone:443-783-5697
Mailing Address - Fax:
Practice Address - Street 1:11007 MANKLIN CREEK RD UNIT C-5
Practice Address - Street 2:
Practice Address - City:BERLIN
Practice Address - State:MD
Practice Address - Zip Code:21811-4012
Practice Address - Country:US
Practice Address - Phone:443-783-5697
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-27
Last Update Date:2019-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty