Healthcare Provider Details

I. General information

NPI: 1972012383
Provider Name (Legal Business Name): RAYMOND ROBERT SOLINGER DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2017
Last Update Date: 11/15/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 CLEAVER FARMS RD STE 1
MIDDLETOWN DE
19709
US

IV. Provider business mailing address

1050 INDUSTRIAL RD STE 210
MIDDLETOWN DE
19709-2803
US

V. Phone/Fax

Practice location:
  • Phone: 302-449-2048
  • Fax: 302-449-2047
Mailing address:
  • Phone: 301-449-2048
  • Fax: 302-449-2047

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0003767
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: