Provider Demographics
NPI:1679161269
Name:DELUCIA, MARGARET ALAYNA (DPT)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:ALAYNA
Last Name:DELUCIA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:MARGARET
Other - Middle Name:
Other - Last Name:DUMM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1311 MAMARONECK AVE STE 140
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-5224
Mailing Address - Country:US
Mailing Address - Phone:914-294-4050
Mailing Address - Fax:
Practice Address - Street 1:229 ARCH ST UNIT 112
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19106-1974
Practice Address - Country:US
Practice Address - Phone:267-236-1025
Practice Address - Fax:267-236-1050
Is Sole Proprietor?:No
Enumeration Date:2021-01-08
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
PAPT029123225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist