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NPI Code Detail

MEDICARE: KRISTEN LOOSE DPT, OTR/L

MEDICARE: KRISTEN LOOSE DPT, OTR/L
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
1225X00000XOccupational TherapistU1-0000475DE
2225100000XPhysical TherapistJ1-0001953DE

General Provider Information

NPI Number : 1942242466
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN LOOSE DPT, OTR/L
Provider Business Mailing Address
First Line : 395 OLD LANDING RD STE 102
Second Line :
City : MILLSBORO
State : DE
Zip : 19966-1249
Country : US
Telephone Number : 302-934-3922
Fax Number :
Provider Business Practice Location Address
First Line : 395 OLD LANDING RD STE 102
Second Line :
City : MILLSBORO
State : DE
Zip : 19966-1249
Country : US
Telephone Number : 302-934-3922
Fax Number : 302-894-1601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2006
Last Update Date : 10/27/2025

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Directions to “ KRISTEN LOOSE DPT, OTR/L” Practice Location

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