Provider Demographics
NPI:1104100585
Name:ARYEE, DELAILA NAADEDEI (DPT)
Entity type:Individual
Prefix:
First Name:DELAILA
Middle Name:NAADEDEI
Last Name:ARYEE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5008 BALTIMORE AVE
Mailing Address - Street 2:2ND FLOOR, SUITE D
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19143-4271
Mailing Address - Country:US
Mailing Address - Phone:215-747-7383
Mailing Address - Fax:217-747-1080
Practice Address - Street 1:5008 BALTIMORE AVE
Practice Address - Street 2:2ND FLOOR, SUITE D
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19143-4271
Practice Address - Country:US
Practice Address - Phone:215-650-7383
Practice Address - Fax:215-747-1080
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-04
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021445225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA47-4506800OtherTAX ID - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.
PA1528438793OtherNPI - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.
PA47-4506800OtherTAX ID - VITAL STEP PHYSICAL THERAPY & FITNESS, P.C.