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NPI Code Detail

MEDICARE: ALLISON DELANEY PT, BCC

MEDICARE: ALLISON DELANEY PT, BCC
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
1225100000XPhysical Therapist2305204613VA
2374K00000XReligious Nonmedical Practitioner113136

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00419512OTHERVARAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3192935OTHERVABCBS PHY THERAPY
47214855OTHERVAAETNA

General Provider Information

NPI Number : 1851474183
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON DELANEY PT, BCC
Provider Business Mailing Address
First Line : 4600 EDMUNDSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63134-3806
Country : US
Telephone Number : 314-733-6801
Fax Number :
Provider Business Practice Location Address
First Line : 4600 EDMUNDSON RD
Second Line :
City : SAINT LOUIS
State : MO
Zip : 63134-3806
Country : US
Telephone Number : 314-733-6801
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 08/02/2023

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