| Doctor Name: | RICHARD DAVID DAIGLE |
| NPI Number: | 1073637633 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT, DPT |
| License Number: | 029642-1 |
| Business Practice Address: | 400 State Rt 17 Suite 1 Ridgewood, NJ - 074502010 |
| Business Phone Number: | 2014458600 |
| Business Fax Number: | 2014458610 |
| Mailing Address: | 739 Holly St, NEW MILFORD |
| State: | NJ |
| Postal Code: | 076461415 |
| Phone Number: | 6173046294 |
| Fax Number: | |
| NPI Enumeration Date: | 03/19/2007 |
| NPI Last Update Date: | 02/15/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 029642-1 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| 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 |