Healthcare Provider Details

I. General information

NPI: 1083520142
Provider Name (Legal Business Name): DELANEY ELIZABETH CHANNELL OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/20/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

235 MAIN ST
DANBURY CT
06810-6673
US

IV. Provider business mailing address

1401 JOHNSTON WILLIS DR
NORTH CHESTERFIELD VA
23235-4789
US

V. Phone/Fax

Practice location:
  • Phone: 203-730-5900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC019663
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: