Healthcare Provider Details

I. General information

NPI: 1265904809
Provider Name (Legal Business Name): DELANEY ANN HULETT OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/20/2018
Last Update Date: 12/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2618 RAINTREE DR APT C7
FORT COLLINS CO
80526-2477
US

IV. Provider business mailing address

2618 RAINTREE DR APT C7
FORT COLLINS CO
80526-2477
US

V. Phone/Fax

Practice location:
  • Phone: 303-503-8082
  • Fax:
Mailing address:
  • Phone: 303-503-8082
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0005699
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: