Provider Demographics
NPI:1013980358
Name:DULANEY, RACHEAL FREE (PT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEAL
Middle Name:FREE
Last Name:DULANEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:H
Other - Last Name:FREE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:401 MCINTIRE RD RM 323
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22902-4579
Mailing Address - Country:US
Mailing Address - Phone:434-296-5885
Mailing Address - Fax:
Practice Address - Street 1:243 WOODROW WILSON LANE
Practice Address - Street 2:
Practice Address - City:FISHERSVILLE
Practice Address - State:VA
Practice Address - Zip Code:22939
Practice Address - Country:US
Practice Address - Phone:540-332-7118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-08
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305203283225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist