Doctor Name: | KRISTINE DACEY |
NPI Number: | 1275937393 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | PT 16808 |
Business Practice Address: | 941 Village Trl Port Orange, FL - 321279353 |
Business Phone Number: | 3868727511 |
Business Fax Number: | 8667811879 |
Mailing Address: | Po Box 1975, ROME |
State: | GA |
Postal Code: | 301621975 |
Phone Number: | 7062048548 |
Fax Number: | 8668587371 |
NPI Enumeration Date: | 10/17/2014 |
NPI Last Update Date: | 10/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT 16808 |
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 |