Provider Demographics
NPI:1609907310
Name:NORTON, DELANIE B (PT)
Entity Type:Individual
Prefix:MRS
First Name:DELANIE
Middle Name:B
Last Name:NORTON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2917 COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-2203
Mailing Address - Country:US
Mailing Address - Phone:510-644-3668
Mailing Address - Fax:510-644-0418
Practice Address - Street 1:2917 COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-2203
Practice Address - Country:US
Practice Address - Phone:510-644-3668
Practice Address - Fax:510-644-0418
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT11612225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist