Provider Demographics
NPI:1447028667
Name:THOMPSON, DELIA BRIGHID (MS, OTR/L, CAPS)
Entity type:Individual
Prefix:
First Name:DELIA
Middle Name:BRIGHID
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:MS, OTR/L, CAPS
Other - Prefix:
Other - First Name:DELIA
Other - Middle Name:
Other - Last Name:THOMPSON-PETERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2821 WEHRLE DR STE 10
Mailing Address - Street 2:
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14221-7386
Mailing Address - Country:US
Mailing Address - Phone:716-997-7450
Mailing Address - Fax:
Practice Address - Street 1:2821 WEHRLE DR STE 10
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-7386
Practice Address - Country:US
Practice Address - Phone:716-688-5709
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY024841225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist