IndividualActive
Georgia Bafundo, PTA
NPI 1396798104 · Physical Therapy Assistant · Wilmington, DE
Provider details
- NPI number
- 1396798104
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- J2-0000540 (DE)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1707 Foulk Rd
Wilmington, DE 19803-2733
Phone: (302) 479-0880
Fax: (302) 479-0550
Approximate (ZIP-level) locationGet directions
Mailing address
2 W 10th St
Marcus Hook, PA 19061-4513
Registry dates
- Enumerated
- 2006-05-19
- Last updated
- 2009-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.