Provider Demographics
NPI:1750413761
Name:DELAMARTER, LENORE L (PT)
Entity type:Individual
Prefix:MRS
First Name:LENORE
Middle Name:L
Last Name:DELAMARTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6310 SPRINGWATER CT
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-7264
Mailing Address - Country:US
Mailing Address - Phone:317-748-9391
Mailing Address - Fax:317-837-7728
Practice Address - Street 1:6310 SPRINGWATER CT
Practice Address - Street 2:
Practice Address - City:AVON
Practice Address - State:IN
Practice Address - Zip Code:46123-7264
Practice Address - Country:US
Practice Address - Phone:317-748-9391
Practice Address - Fax:317-837-7728
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05004572A2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics