Healthcare Provider Details

I. General information

NPI: 1558331397
Provider Name (Legal Business Name): FRANCES DELANEY PT, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 04/20/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PSC 482 BOX 1600 BLDG 9497 KADENA AIR BASE
FPO AP
96362
US

IV. Provider business mailing address

PSC 80 BOX 17065
APO AE
96367
US

V. Phone/Fax

Practice location:
  • Phone: 6342747
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8194
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: