Provider Demographics
NPI:1548466550
Name:PAMPLONA, ROWENA RODRIGUEZ (PT)
Entity type:Individual
Prefix:MRS
First Name:ROWENA
Middle Name:RODRIGUEZ
Last Name:PAMPLONA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:ROWENA
Other - Middle Name:RETIZA
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:10335 STRAWBERRY POINTE STREET
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:DE
Mailing Address - Zip Code:19940
Mailing Address - Country:US
Mailing Address - Phone:302-280-6277
Mailing Address - Fax:302-280-6277
Practice Address - Street 1:1100 NORMAN ESKRIDGE HWY
Practice Address - Street 2:
Practice Address - City:SEAFORD
Practice Address - State:DE
Practice Address - Zip Code:19973-1724
Practice Address - Country:US
Practice Address - Phone:302-629-3575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-1836225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist