Mary Laude Delgado-Medina
Physical Therapy Assistant
1201 Broad Rock Blvd
Richmond
, Virginia 23249-0001
Mary Laude Delgado-Medina
Physical Therapy Assistant
1201 Broad Rock Blvd
Richmond
, Virginia 23249-0001
(804) 675-5000
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mary Laude Delgado-Medina
- 7300 Brandon Ln
- Prince George, VA
- Zip : 23875-2984
- Phone : (804) 675-5000
Second Address
- Mary Laude Delgado-Medina
- 1201 Broad Rock Blvd
- Richmond, VA
- Zip : 23249-0001
- Phone : (804) 675-5000
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 2306000751 | VA |
National Provider Identifier
| NPI | 1013213032 |
|---|---|
| Provider Name | Mary Laude Delgado-Medina |
| First Address | Prince George, VA 23875-2984 |
| Second Address | Richmond, VA 23249-0001 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/02/2011 |
| Last Update Date | 09/02/2011 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.