Doctor Name: | MRS. DEANNA DAWN DAYOLA AMANCIO |
NPI Number: | 1689846230 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 029354 |
Business Practice Address: | 3201 W Commercial Blvd Ste 116 Ft Lauderdale, FL - 333093444 |
Business Phone Number: | 8008868108 |
Business Fax Number: | 8003700755 |
Mailing Address: | 2824 Nora Ln, MODESTO |
State: | CA |
Postal Code: | 953551900 |
Phone Number: | 2095266570 |
Fax Number: | 5623660081 |
NPI Enumeration Date: | 03/24/2008 |
NPI Last Update Date: | 03/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 029354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
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 |