Provider Demographics
NPI:1215707559
Name:LINDAUER, DELANEY RATLIFF (OTR/L)
Entity type:Individual
Prefix:
First Name:DELANEY
Middle Name:RATLIFF
Last Name:LINDAUER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:104 WATERVIEW CIR
Mailing Address - Street 2:
Mailing Address - City:FOREST
Mailing Address - State:VA
Mailing Address - Zip Code:24551-1957
Mailing Address - Country:US
Mailing Address - Phone:434-515-4187
Mailing Address - Fax:
Practice Address - Street 1:104 WATERVIEW CIR
Practice Address - Street 2:
Practice Address - City:FOREST
Practice Address - State:VA
Practice Address - Zip Code:24551-1957
Practice Address - Country:US
Practice Address - Phone:434-515-4187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119010265225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist