Doctor Name: | KIM MARIE DARE |
NPI Number: | 1093765141 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | J10000401 |
Business Practice Address: | 4001 Miller Rd 2nd Floor Wilmington, DE - 198021961 |
Business Phone Number: | 3027642008 |
Business Fax Number: | 3027642019 |
Mailing Address: | 12 Walnut Ridge Rd, GREENVILLE |
State: | DE |
Postal Code: | 198071600 |
Phone Number: | 3027505486 |
Fax Number: | 3027642019 |
NPI Enumeration Date: | 05/11/2006 |
NPI Last Update Date: | 12/05/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | J10000401 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |