Healthcare Provider Details

I. General information

NPI: 1659291268
Provider Name (Legal Business Name): UNDER THE TREES PT LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 MELROSE AVE
WILMINGTON DE
19809-2662
US

IV. Provider business mailing address

1006 MELROSE AVE
WILMINGTON DE
19809-2662
US

V. Phone/Fax

Practice location:
  • Phone: 410-215-4982
  • Fax:
Mailing address:
  • Phone: 410-215-4982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DANA SUTULA
Title or Position: PHYSICAL THERAPIST
Credential: PT, DPT
Phone: 410-215-4982