MEDICARE: STONEY BATTER PHYSICAL THERAPY & SPINE CENTER, 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
1	174400000X	Specialist	1997115418	DE

General Provider Information

NPI Number	:	1912000373
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STONEY BATTER PHYSICAL THERAPY & SPINE CENTER, LLC

Provider Business Mailing Address
First Line	:	5307 LIMESTONE RD
Second Line	:	SUITE 203
City	:	WILMINGTON
State	:	DE
Zip	:	19808-1268
Country	:	US
Telephone Number	:	302-234-8170
Fax Number	:	302-234-8174

Provider Business Practice Location Address
First Line	:	5307 LIMESTONE RD
Second Line	:	SUITE 203
City	:	WILMINGTON
State	:	DE
Zip	:	19808-1268
Country	:	US
Telephone Number	:	302-234-8170
Fax Number	:	302-234-8174

Authorized Official
Title or Position	:	PRESIDENT / OWNER
Name	:	J MATTHEW HANLING
Credential	:	PT, CERT. MDT
Telephone Number	:	302-234-8170

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	10/05/2016

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Practice Location Address:

5307 LIMESTONE RD , SUITE 203
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1588987820 — ALAN D. WARRINGTON, D.O., P.A.
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