Provider Demographics
NPI:1326457490
Name:VARGHESE, DELIN GEORGE (PT, DPT)
Entity Type:Individual
Prefix:MR
First Name:DELIN
Middle Name:GEORGE
Last Name:VARGHESE
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 WESTFIELD CT
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-1601
Mailing Address - Country:US
Mailing Address - Phone:434-327-6858
Mailing Address - Fax:
Practice Address - Street 1:549 MAIN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:VA
Practice Address - Zip Code:22572-4282
Practice Address - Country:US
Practice Address - Phone:804-333-8222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-03
Last Update Date:2014-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305208925225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist