Provider Demographics
NPI:1063600849
Name:DOWNS, ANGELA RENEE (MPT)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:RENEE
Last Name:DOWNS
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:719 NAULT RD
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-5835
Mailing Address - Country:US
Mailing Address - Phone:302-730-0309
Mailing Address - Fax:
Practice Address - Street 1:719 NAULT RD
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-5835
Practice Address - Country:US
Practice Address - Phone:302-730-0309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0001815225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist