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Contact Information

HEATHER A IMMEDIATO, PTA
280 E. MAIN ST.
SUITE 132
NEWARK, DE19711
 Phone: 302-709-0440
 Fax: 302-709-0443
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
Indicates primary specialty

NPI Profile & details for HEATHER A IMMEDIATO · (Female)

NPI Number 1598018657
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 10/25/2012
Last updated 10/25/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • DE License # J2-0000529
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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