Healthcare Provider Details

I. General information

NPI: 1265101877
Provider Name (Legal Business Name): CALLAWAY FRANCESCHINI LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2021
Last Update Date: 09/08/2021
Certification Date: 08/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1030 FORREST AVE STE 105A
DOVER DE
19904-3310
US

IV. Provider business mailing address

750 PRIDES XING STE 112
NEWARK DE
19713-6107
US

V. Phone/Fax

Practice location:
  • Phone: 302-268-8880
  • Fax: 302-278-0272
Mailing address:
  • Phone: 302-864-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: KATHY CALLAWAY
Title or Position: PRESIDENT
Credential:
Phone: 302-379-0723