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NPI Code Detail

MEDICARE: ANNA SPARROW PTA

MEDICARE: ANNA SPARROW 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 AssistantJ2000476DE

General Provider Information

NPI Number : 1760500573
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNA SPARROW PTA
Provider Business Mailing Address
First Line : 10097 MARVIL DR
Second Line :
City : LAUREL
State : DE
Zip : 19956-3939
Country : US
Telephone Number : 302-854-6575
Fax Number : 302-854-6580
Provider Business Practice Location Address
First Line : 110 W NORTH ST
Second Line :
City : GEORGETOWN
State : DE
Zip : 19947-2137
Country : US
Telephone Number : 302-854-6575
Fax Number : 302-854-6580
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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Directions to “ ANNA SPARROW PTA” Practice Location

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