Provider Demographics
NPI:1548483373
Name:DELAUNE, MARY FRANCES CATHERINE
Entity type:Individual
Prefix:MS
First Name:MARY FRANCES
Middle Name:CATHERINE
Last Name:DELAUNE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7804 ACCOTINK PLACE
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22308-1226
Mailing Address - Country:US
Mailing Address - Phone:708-823-6909
Mailing Address - Fax:
Practice Address - Street 1:1111 NORTH FAIRFAX STREET
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-1488
Practice Address - Country:US
Practice Address - Phone:703-706-3176
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD19523225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist