Provider Demographics
NPI:1982833984
Name:DELP, TRICIA ANN (PT)
Entity Type:Individual
Prefix:DR
First Name:TRICIA
Middle Name:ANN
Last Name:DELP
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1107 NEW POINTE BLVD
Mailing Address - Street 2:B-19
Mailing Address - City:LELAND
Mailing Address - State:NC
Mailing Address - Zip Code:28451-4128
Mailing Address - Country:US
Mailing Address - Phone:910-616-9824
Mailing Address - Fax:866-844-3505
Practice Address - Street 1:1107 NEW POINTE BLVD
Practice Address - Street 2:B-19
Practice Address - City:LELAND
Practice Address - State:NC
Practice Address - Zip Code:28451-4128
Practice Address - Country:US
Practice Address - Phone:910-616-9824
Practice Address - Fax:866-844-3505
Is Sole Proprietor?:No
Enumeration Date:2009-07-11
Last Update Date:2009-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP5097225100000X, 2251S0007X, 2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports