Dolores Maria Bush I, MSPT
Individual provider Active NPI Physical Therapist · Wilmington, DE
NPI 1346752193 · NPPES record last updated Nov 2, 2017
Key facts
- NPI
- 1346752193
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- J10001051 (DE)
- Practice address
- 750 Shipyard Dr Ste 100
Wilmington, DE 19801-5161 - Phone
- (302) 658-3000
- Fax
- (302) 658-3600
- NPI assigned
- Nov 2, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J10001051 | DE | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | J10001051 | DE | Yes |
Addresses
Primary practice location
750 Shipyard Dr Ste 100
Wilmington, DE 19801-5161
Mailing address
23 Perth Dr
Wilmington, DE 19803-2612
Phone (302) 545-2813
Other providers in Wilmington, DE
- Chardae S. Burton
- James David Burton
- Sara T Burton
- Victoria Burton
- April Michelle Bush
- Russel Damien Buskirk
- Gordon A Bussard
- Kalisandra G Bussey
- Ilian Bustos
- Colleen Butcher
All providers in Wilmington, DE · Physical Therapist in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 2, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.