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General NPI Number Information
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NPI Number | 1023964418
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Entity Type | Organization
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Legal Business Name | WILMINGTON PHYSICAL THERAPY & WELLNESS LLC
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Dates
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Enumeration Date | 03/07/2026
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Last Update Date | 03/07/2026
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Provider Practice Location Address
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Address Line | 30 CRIMSON KING DR
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City | BEAR
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State | DE
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Zip | 19701-2387
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Country | US
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Telephone | 201-744-3276
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Fax |
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Provider Business Mailing Address
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Address Line | 30 CRIMSON KING DR
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City | BEAR
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State | DE
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Zip | 19701-2387
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Country | US
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Telephone | 201-744-3276
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MAHENDRA BORAD
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Credential |
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Telephone | 201-744-3276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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