Doctor Name: | MR. PETER CHARLES COYLE |
NPI Number: | 1225379191 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | J1-0002954 |
Business Practice Address: | 63 E Delaware Ave 053 Mckinly Lab Newark, DE - 197163798 |
Business Phone Number: | 3028318893 |
Business Fax Number: | |
Mailing Address: | 18 Marvin Dr Apt A1, NEWARK |
State: | DE |
Postal Code: | 197131361 |
Phone Number: | 6096346321 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2013 |
NPI Last Update Date: | 03/01/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | J1-0002954 |
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 |