Provider Demographics
NPI:1093035289
Name:HERRERA, DELIA J (PT)
Entity Type:Individual
Prefix:
First Name:DELIA
Middle Name:J
Last Name:HERRERA
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:DELIA
Other - Middle Name:J
Other - Last Name:FRANCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8600 PARK MEADOWS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LONETREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2757
Mailing Address - Country:US
Mailing Address - Phone:303-649-2165
Mailing Address - Fax:303-649-2166
Practice Address - Street 1:8600 PARK MEADOWS DR STE 200
Practice Address - Street 2:
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2757
Practice Address - Country:US
Practice Address - Phone:303-649-2165
Practice Address - Fax:303-649-2166
Is Sole Proprietor?:No
Enumeration Date:2010-06-10
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10711225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist