Healthcare Provider Details

I. General information

NPI: 1386939460
Provider Name (Legal Business Name): AMELIA J H ARUNDALE PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2011
Last Update Date: 12/05/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

540 S COLLEGE AVE
NEWARK DE
19713-1302
US

IV. Provider business mailing address

540 S COLLEGE AVE
NEWARK DE
19713-1302
US

V. Phone/Fax

Practice location:
  • Phone: 302-831-8893
  • Fax: 302-831-4468
Mailing address:
  • Phone: 302-831-8893
  • Fax: 302-831-4468

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0003039
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: