Provider Demographics
NPI:1023445244
Name:DELANO, BETH LOUISE (COTA)
Entity type:Individual
Prefix:MRS
First Name:BETH
Middle Name:LOUISE
Last Name:DELANO
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:519 HAMPSHIRE HILL RD
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05682-9743
Mailing Address - Country:US
Mailing Address - Phone:802-223-3298
Mailing Address - Fax:
Practice Address - Street 1:519 HAMPSHIRE HILL RD
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:VT
Practice Address - Zip Code:05682-9743
Practice Address - Country:US
Practice Address - Phone:802-223-3298
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-02
Last Update Date:2013-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0730000020224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant