Provider Demographics
NPI:1144923301
Name:HENRY, DARA (PT)
Entity type:Individual
Prefix:
First Name:DARA
Middle Name:
Last Name:HENRY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 ROCKWELL RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19810-3129
Mailing Address - Country:US
Mailing Address - Phone:610-350-6125
Mailing Address - Fax:
Practice Address - Street 1:16 WILMINGTON W CHESTER PIKE STE 3
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9085
Practice Address - Country:US
Practice Address - Phone:484-574-8868
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-24
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer