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NPI Code Detail

MEDICARE: MR. WILLIAM PATRICK CINTRON PTA

MEDICARE: MR. WILLIAM PATRICK CINTRON PTA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225200000XPhysical Therapy AssistantJ2-0000630DE

General Provider Information

NPI Number : 1083668602
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. WILLIAM PATRICK CINTRON PTA
Provider Business Mailing Address
First Line : 44 W KYLA MARIE DR
Second Line :
City : NEWARK
State : DE
Zip : 19702-5431
Country : US
Telephone Number : 302-690-2848
Fax Number :
Provider Business Practice Location Address
First Line : 4709 KIRKWOOD HWY
Second Line :
City : WILMINGTON
State : DE
Zip : 19808-5007
Country : US
Telephone Number : 302-998-9880
Fax Number : 302-998-7498
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2006
Last Update Date : 07/08/2007

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