Healthcare Provider Details

I. General information

NPI: 1861255549
Provider Name (Legal Business Name): CAREY ANNA KARL DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2024
Last Update Date: 02/05/2024
Certification Date: 02/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 BROADKILL RD
MILTON DE
19968-1008
US

IV. Provider business mailing address

108 BROADKILL RD
MILTON DE
19968-1008
US

V. Phone/Fax

Practice location:
  • Phone: 302-608-9008
  • Fax: 302-544-9204
Mailing address:
  • Phone: 302-608-9008
  • Fax: 302-544-9204

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0014825
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: