Healthcare Provider Details

I. General information

NPI: 1740955285
Provider Name (Legal Business Name): MARY KATHRYN MONACO DPT, OCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2021
Last Update Date: 07/16/2024
Certification Date: 05/28/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5550 KIRKWOOD HWY
WILMINGTON DE
19808-5000
US

IV. Provider business mailing address

5550 KIRKWOOD HWY
WILMINGTON DE
19808-5000
US

V. Phone/Fax

Practice location:
  • Phone: 302-995-2100
  • Fax:
Mailing address:
  • Phone: 302-995-2100
  • Fax: 302-998-3104

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: