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Individual

MRS. MARY A DELANEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
8206 TRADERS HOLLOW CT, INDIANAPOLIS, IN 46278-1297
(317) 258-2400
Mailing address
PO BOX 78121, INDIANAPOLIS, IN 46278-0121

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
05002417A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
05002417A
PHYSICAL THERAPY LICENSE
IN
Enumeration date
02/09/2006
Last updated
06/01/2010
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