| Doctor Name: | PAULINA CHANEL CODERA |
| NPI Number: | 1396100756 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | |
| Business Practice Address: | 26744 John J Williams Hwy Unit 6 Millsboro, DE - 199664667 |
| Business Phone Number: | 3029454250 |
| Business Fax Number: | 3029453190 |
| Mailing Address: | 659 S Salisbury Blvd Ste 1b, SALISBURY |
| State: | MD |
| Postal Code: | 218015458 |
| Phone Number: | 4108313226 |
| Fax Number: | 4106770883 |
| NPI Enumeration Date: | 12/29/2015 |
| NPI Last Update Date: | 12/29/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | |
| 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 |