| Doctor Name: | DARYLLE RACIMO |
| NPI Number: | 1326475419 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 40QA01161600 |
| Business Practice Address: | 118 Main St Succasunna, NJ - 078761385 |
| Business Phone Number: | 9735844000 |
| Business Fax Number: | 9739334510 |
| Mailing Address: | 401 Ridge Rd, Suite 1 DAYTON |
| State: | NJ |
| Postal Code: | 088103300 |
| Phone Number: | 7322303076 |
| Fax Number: | 8668624631 |
| NPI Enumeration Date: | 10/03/2013 |
| NPI Last Update Date: | 10/09/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 40QA01161600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| 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 |