Healthcare Provider Details

I. General information

NPI: 1811924277
Provider Name (Legal Business Name): MAUREEN OLEJAR PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/28/2006
Last Update Date: 10/23/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

213 GREENHILL AVE SUITE C
WILMINGTON DE
19805-1844
US

IV. Provider business mailing address

1812 MARSH RD STORE 505
WILMINGTON DE
19810-4581
US

V. Phone/Fax

Practice location:
  • Phone: 302-658-7800
  • Fax: 302-658-1550
Mailing address:
  • Phone: 302-793-1800
  • Fax: 302-793-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ10001477
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: