Healthcare Provider Details

I. General information

NPI: 1407452931
Provider Name (Legal Business Name): THERESA KATHERINE DELANEY OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2020
Last Update Date: 09/06/2023
Certification Date: 09/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 PINEY MOUNTAIN DR
ASHEVILLE NC
28805-1297
US

IV. Provider business mailing address

26 CHESTNUT LODGE RD
BLACK MOUNTAIN NC
28711-8787
US

V. Phone/Fax

Practice location:
  • Phone: 828-252-1915
  • Fax:
Mailing address:
  • Phone: 502-553-6855
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number12979
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: