Healthcare Provider Details

I. General information

NPI: 1538073630
Provider Name (Legal Business Name): KINEWAVE REHAB SOLUTIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 THE GRN STE 26854
DOVER DE
19901-3618
US

IV. Provider business mailing address

8 THE GRN STE 26854
DOVER DE
19901-3618
US

V. Phone/Fax

Practice location:
  • Phone: 302-288-0670
  • Fax:
Mailing address:
  • Phone: 302-288-0670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SUMA MARIAM KURIAKOSE
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 646-469-9679