Healthcare Provider Details

I. General information

NPI: 1205742251
Provider Name (Legal Business Name): DELANEY MCDONNELL
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: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

295 BUCK RD
HOLLAND PA
18966-1733
US

IV. Provider business mailing address

111 VILLAGE LN
PHILADELPHIA PA
19154-3601
US

V. Phone/Fax

Practice location:
  • Phone: 215-485-5018
  • Fax:
Mailing address:
  • Phone: 215-837-1865
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC020087
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: