Provider Demographics
NPI:1396054300
Name:DELAHANT, DIANE BARBARA (MS, OTR/L)
Entity type:Individual
Prefix:MRS
First Name:DIANE
Middle Name:BARBARA
Last Name:DELAHANT
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 MULFLUR RD
Mailing Address - Street 2:
Mailing Address - City:SARANAC LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12983-2146
Mailing Address - Country:US
Mailing Address - Phone:518-891-3586
Mailing Address - Fax:
Practice Address - Street 1:79 CANARAS AVE
Practice Address - Street 2:
Practice Address - City:SARANAC LAKE
Practice Address - State:NY
Practice Address - Zip Code:12983-1560
Practice Address - Country:US
Practice Address - Phone:518-897-1554
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-26
Last Update Date:2010-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY010901225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist