Doctor Name: | DAREN ECCLES |
NPI Number: | 1063820272 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPT |
License Number: | PT29358 |
Business Practice Address: | 4287 Se Federal Hwy Stuart, FL - 349974936 |
Business Phone Number: | 7722233440 |
Business Fax Number: | 7722213373 |
Mailing Address: | 468 Nw Ravenswood Ln, PORT SAINT LUCIE |
State: | FL |
Postal Code: | 349831195 |
Phone Number: | 8453806428 |
Fax Number: | 7722213373 |
NPI Enumeration Date: | 07/31/2014 |
NPI Last Update Date: | 12/10/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT29358 |
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 |