Doctor Name: | MISS DARIA VALERIEVNA TCHETVERGOVA |
NPI Number: | 1033433081 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT25405 |
Business Practice Address: | 15620 Mcgregor Blvd Suite D Fort Myers, FL - 339082528 |
Business Phone Number: | 2394546262 |
Business Fax Number: | 2394540350 |
Mailing Address: | 18070 S Tamiami Trl, Ste 15 FORT MYERS |
State: | FL |
Postal Code: | 339084602 |
Phone Number: | 2393444448 |
Fax Number: | 2393444449 |
NPI Enumeration Date: | 03/19/2010 |
NPI Last Update Date: | 02/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT25405 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |