Provider Demographics
NPI:1669765996
Name:DELP, BRIDGET (PT, DPT)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:
Last Name:DELP
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1844 CANDLEWYCK LN
Mailing Address - Street 2:
Mailing Address - City:GREEN LANE
Mailing Address - State:PA
Mailing Address - Zip Code:18054-2047
Mailing Address - Country:US
Mailing Address - Phone:267-235-8270
Mailing Address - Fax:
Practice Address - Street 1:1844 CANDLEWYCK LN
Practice Address - Street 2:
Practice Address - City:GREEN LANE
Practice Address - State:PA
Practice Address - Zip Code:18054-2047
Practice Address - Country:US
Practice Address - Phone:267-235-8270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT021172225100000X
225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist