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NPI Code Detail

MEDICARE: SUZANNE L DELANEY PT

MEDICARE: SUZANNE L DELANEY PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12251P0200XPediatric Physical Therapist2305001968VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336153485
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUZANNE L DELANEY PT
Provider Business Mailing Address
First Line : 1400 FORDHAM DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-5368
Country : US
Telephone Number : 757-361-3954
Fax Number : 757-361-3957
Provider Business Practice Location Address
First Line : 1400 FORDHAM DR
Second Line :
City : VIRGINIA BEACH
State : VA
Zip : 23464-5368
Country : US
Telephone Number : 757-361-3954
Fax Number : 757-361-3957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 07/09/2007

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