| Doctor Name: | KERRY DAWN DARASKAVICH |
| NPI Number: | 1679816193 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DPT |
| License Number: | P10637 |
| Business Practice Address: | 311 South Campell Street Burgaw, NC - 28425 |
| Business Phone Number: | 9103006424 |
| Business Fax Number: | 9103006425 |
| Mailing Address: | 309 Oakmont Dr, HAMPSTEAD |
| State: | NC |
| Postal Code: | 284438474 |
| Phone Number: | 9106226006 |
| Fax Number: | 9103006425 |
| NPI Enumeration Date: | 04/03/2013 |
| NPI Last Update Date: | 04/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | P10637 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| 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 |