| Doctor Name: | MRS. HERMINIGILDA DADULIA DELANTAR |
| NPI Number: | 1952674954 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PT |
| License Number: | 5501011201 |
| Business Practice Address: | 211 W Pine Lake Drive Newaygo, MI - 49337 |
| Business Phone Number: | 2316525381 |
| Business Fax Number: | 2316525385 |
| Mailing Address: | 211 W Pine Lake Drive, NEWAYGO |
| State: | MI |
| Postal Code: | 49337 |
| Phone Number: | 2316525381 |
| Fax Number: | 2316525385 |
| NPI Enumeration Date: | 02/22/2012 |
| NPI Last Update Date: | 02/22/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 5501011201 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |