Individual
MR. JONATHAN E DELK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTH3514
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51104595
BLUE CROSS BLUE SH TRUSSVILLE LOCATION
AL
01
—
51502359
BLUE CROSS
AL
01
—
6400002
UNITED HEALTHCARE
AL
Enumeration date
10/02/2006
Last updated
04/21/2010
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