| Doctor Name: | MRS. ADRIENNE LEE DAISERNIA |
| NPI Number: | 1336234673 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | P.T. |
| License Number: | PT18733 |
| Business Practice Address: | 120 N Richard Jackson Blvd Suite 30 Panama City Beach, FL - 324072521 |
| Business Phone Number: | 8502356360 |
| Business Fax Number: | 8502358871 |
| Mailing Address: | 11605 Sand Castle Ln, PANAMA CITY BEACH |
| State: | FL |
| Postal Code: | 324074547 |
| Phone Number: | 8505329051 |
| Fax Number: | |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 12/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | PT18733 |
| 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 |