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General NPI Number Information
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NPI Number | 1194805705
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Entity Type | Organization
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Legal Business Name | LINDELL PHYSICAL THERAPY OF DELAWARE PA
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 3300 CONCORD PIKE STE 4
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City | WILMINGTON
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State | DE
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Zip | 19803-5038
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Country | US
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Telephone | 302-753-2700
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Fax | 302-478-1975
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Provider Business Mailing Address
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Address Line | 3300 CONCORD PIKE STE 4
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City | WILMINGTON
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State | DE
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Zip | 19803-5038
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Country | US
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Telephone | 302-753-2700
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Fax | 302-478-1975
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | MR. JAY STUART KOGON
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Credential | P.T.
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Telephone | 302-998-7572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number |
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License Number State |
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