Doctor Name: | DIANNE RENE SUZOR DANIEL |
NPI Number: | 1215979224 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT, MS |
License Number: | 8195 |
Business Practice Address: | 45 S Washington St Cortez, CO - 813213737 |
Business Phone Number: | 9705656833 |
Business Fax Number: | |
Mailing Address: | Po Box 304, YELLOW JACKET |
State: | CO |
Postal Code: | 813350304 |
Phone Number: | 9705624812 |
Fax Number: | |
NPI Enumeration Date: | 06/12/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 8195 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
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 |