Katherine Irvine, PT | |
22317 Dupont Blvd, Georgetown, DE 19947-2153 | |
(302) 253-1100 | |
Not Available |
Full Name | Katherine Irvine |
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Gender | Female |
Speciality | Physical Therapist |
Location | 22317 Dupont Blvd, Georgetown, Delaware |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124604715 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | J1-0003597 (Delaware) | Primary |
Provider Name | Konlian,o'neill & Associates, P.a. |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1083647515 PECOS PAC ID: 0648408997 Enrollment ID: O20140125000074 |
Mailing Address | Practice Location Address |
---|---|
Katherine Irvine, PT 8594 Shadow Ln, Delmar, MD 21875-2562 Ph: (302) 670-9127 | Katherine Irvine, PT 22317 Dupont Blvd, Georgetown, DE 19947-2153 Ph: (302) 253-1100 |
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