Doctor Name: | TIFFANY NICOLE DELOATCH |
NPI Number: | 1609161801 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | 2305206898 |
Business Practice Address: | 812 E Church St Martinsville, VA - 241123109 |
Business Phone Number: | 2766384809 |
Business Fax Number: | 2766385139 |
Mailing Address: | Po Box 4018, DANVILLE |
State: | VA |
Postal Code: | 245400101 |
Phone Number: | 4347971504 |
Fax Number: | |
NPI Enumeration Date: | 06/15/2011 |
NPI Last Update Date: | 01/25/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 2305206898 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |