OrganizationActive
Lakeside Physical Therapy, LLC
NPI 1184854929 · Rehabilitation Practitioner · Laurel, DE
Provider details
- NPI number
- 1184854929
- Entity type
- Organization
- Primary specialty
- Rehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Metodio Pamplona, Owner(302) 280-6920
- License
- 2009603216 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Ambulatory Health Care Facilities
Practice location
404 E Front St
Laurel, DE 19956-1741
Phone: (302) 280-6920
Fax: (302) 280-6921
Approximate (ZIP-level) locationGet directions
Mailing address
404 E Front St
Laurel, DE 19956-1741
Additional practice locations (1)
- 24488 Sussex Hwy Ste 2Seaford, DE 19973-8470Phone: (302) 990-5544Fax: (302) 990-5545
Registry dates
- Enumerated
- 2009-07-14
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.