Provider Demographics
NPI:1649322025
Name:DELP, JOYCE (OTR)
Entity type:Individual
Prefix:
First Name:JOYCE
Middle Name:
Last Name:DELP
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 RAESTA DR
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46158-1273
Mailing Address - Country:US
Mailing Address - Phone:317-834-2419
Mailing Address - Fax:317-834-2545
Practice Address - Street 1:56 RAESTA DR
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46158-1273
Practice Address - Country:US
Practice Address - Phone:317-834-2419
Practice Address - Fax:317-834-2545
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31001953A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist