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NPI Code Detail

MEDICARE: FALCON THERAPY AND FITNESS LLC

MEDICARE: FALCON THERAPY AND FITNESS LLC
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
1261QP2000XPhysical Therapy Clinic/CenterJ1-0002574DE

General Provider Information

NPI Number : 1255749438
Entity Type Code : Organization
Provider Name (Legal Business Name) : FALCON THERAPY AND FITNESS LLC
Provider Business Mailing Address
First Line : 4602 BIG ROCK DR
Second Line :
City : WILMINGTON
State : DE
Zip : 19802-1004
Country : US
Telephone Number : 302-690-3925
Fax Number :
Provider Business Practice Location Address
First Line : 4602 BIG ROCK DR
Second Line :
City : WILMINGTON
State : DE
Zip : 19802-1004
Country : US
Telephone Number : 302-690-3925
Fax Number :
Authorized Official
Title or Position : OWNER/MANAGER
Name : MR. JEFFREY DAVID SKOWRONSKI
Credential : MPT
Telephone Number : 302-690-3925
Provider Enumeration Date : 07/31/2014
Last Update Date : 07/31/2014

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Directions to “FALCON THERAPY AND FITNESS LLC ” Practice Location

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