Basic Information
| Provider Information | |||||||||
| NPI: | 1245886589 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DELANO | ||||||||
| FirstName: | ANTHONY | ||||||||
| MiddleName: | VINCENT | ||||||||
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| Credential: | PT,DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9980 BROOK RD UNIT 16 | ||||||||
| Address2: | |||||||||
| City: | GLEN ALLEN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230596501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045505730 | ||||||||
| FaxNumber: | 8045505733 | ||||||||
| Practice Location | |||||||||
| Address1: | 9980 BROOK RD UNIT 16 | ||||||||
| Address2: | |||||||||
| City: | GLEN ALLEN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230596501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045505730 | ||||||||
| FaxNumber: | 8045505733 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/13/2019 | ||||||||
| LastUpdateDate: | 08/21/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 2305213057 | VA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.