Healthcare Provider Details

I. General information

NPI: 1457297822
Provider Name (Legal Business Name): PAUL ALDEN WINSLOW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/27/2026
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 YORKLYN RD STE 150
HOCKESSIN DE
19707-8729
US

IV. Provider business mailing address

533 HOLLY KNOLL RD
HOCKESSIN DE
19707-9749
US

V. Phone/Fax

Practice location:
  • Phone: 302-554-9431
  • Fax:
Mailing address:
  • Phone: 302-379-5870
  • Fax: 302-379-5870

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number1659581130
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: