Healthcare Provider Details

I. General information

NPI: 1265478283
Provider Name (Legal Business Name): SUZANNA AGUILAR MPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/20/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 FORREST AVE
DOVER DE
19904-3478
US

IV. Provider business mailing address

1288 S GOVERNORS AVE
DOVER DE
19904-4802
US

V. Phone/Fax

Practice location:
  • Phone: 302-741-0200
  • Fax: 302-741-0245
Mailing address:
  • Phone: 302-677-0100
  • Fax: 302-677-0267

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0001959
License Number StateDE
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License NumberJ1-0001959
License Number StateDE
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License NumberJ1-0001959
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: