Provider Demographics
NPI:1104573294
Name:RAMALINGAM, ISWARYA LAKSHMI
Entity type:Individual
Prefix:MRS
First Name:ISWARYA LAKSHMI
Middle Name:
Last Name:RAMALINGAM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3131 MEETINGHOUSE RD APT C3
Mailing Address - Street 2:
Mailing Address - City:UPPER CHICHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19061-2908
Mailing Address - Country:US
Mailing Address - Phone:302-688-0126
Mailing Address - Fax:
Practice Address - Street 1:801 N BROOM ST
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4624
Practice Address - Country:US
Practice Address - Phone:302-654-8400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-08
Last Update Date:2022-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
J1-0004206225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist